Comparison of haemodynamic responses in normotensive and hypertensive patients among three intubation devices: macintosh laryngoscope, intubating laryngeal mask airway and lightwand

Gvalani, Sunil; Mane, Sushant

doi:10.18203/2320-6012.ijrms20162848

Cited by 1 publication

(2 citation statements)

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“…In hypertensive patients, SAP and DAP was observed to be significantly increased in laryngoscopy group [27]. Another study demonstrated that in ILMA group after the intubation 1 st minute DAP value was significantly lower in normotensive patients when compared to the other groups [12]. In our study, differing from the study of Kihara et al [27] in the laryngoscopy group following the intubation in the 1 st minute a significant increase occurred in DAP.…”

Section: Discussioncontrasting

confidence: 77%

“…Especially in hypertensive patients this response is more severe, continues in a longer time and may be resulted in myocardial ischemia, arrhythmia and cerebrovascular damage [5,10,11]. For that reason, an endotracheal intubation technique to be resulted with minimal hemodynamic flactuation is essential [12]. Additionally, it is necessary that the success rate of the intubation should be high, intubation should be performed in an acceptable time and complication rate should be low.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of fastrach LMA and ILMA methods for airway management

Cirik¹,

Baldemir²,

Avcı³

et al. 2018

A Epidemiol Public Health

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The aim of this study is to compare the hemodynamic responses, durations of intubation, intubation success rates and postoperative upper airway complications between the intubation performed with direct laryngoscopy and blind intubation performed with LMA-Fastrach application in normotensive patients. This present study was performed with the approval of ethical committee and in the surgery rooms between the date March 2010-August 2010. The study was performed on 80 patients aged between 18 and 60 and had American Anesthetists Assosiation (ASA) classification I-II. Endotracheal intubation was essential in their elective abdomen surgeries. The patients were divided into 2 groups as ILMA-Fastrach Group (Group I, n=40) and laryngoscopy group (Group L, n=40). 80 patients aged between 18 and 60. Of those, 54 (67.5%) were female and 26 (32.5%) were male. The age average of the patients was 46.3 ± 10.7. There was not a statistically significant difference between the demographic parameters of the patients. When compared to the onset value of SAP in Group I and Group L, a statistically significant difference was not detected in the groups in terms of SAP 1st minute and 5th minute values. When compared to the SAP onset value of the cases, the decrease in the 1st minute was statistically significant and when compared to the 1st minute value, the decrease in the 5th minute was not statistically significant. In the groups, a statistically significant difference was not observed in terms of DAP outset 1st and 5th minute values. When compared to the DAP onset value of the patients in Group L, the increase in the 1st minute was statistically significant. When compared to the 1st minute value, the decrease in the 5th minute was statistically significant. When compared to the onset value of MAP in Group L, the increase in the 1st minute was statistically significant. In terms of HR onset 1st and 5th minute values a statistically significant value was not detected. In conclusion, patients performed endotracheal intubation with LMA-Fastrach was more stabile than the ones intubated with direct laryngoscopy in terms of hemodynamics. Fewer complications were observed in LMA-Fastrach group and there was not any difference in terms of success rates.

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Section: Discussioncontrasting

confidence: 77%