Hemodynamic changes after endotracheal intubation in patients with cerebral aneurysm (lightwand vs laryngoscope)

Moon, Bong Ki; Yoon, Choon Sik; Kim, J. S.; Lee, Y. J.

doi:10.1097/00003643-200505001-00314

Cited by 3 publications

(3 citation statements)

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“…Kihara et al found no significant difference in attenuation of hemodynamic responses in normotensive, anesthetized and paralyzed patients among the three techniques of intubation, lightwand, intubating laryngal mask airway (ILMA) and direct laryngoscopy. Their results were also consistent with our result [14].…”

Section: Hirabayashi Et Al Compared the Hemodynamic Responses Duringsupporting

confidence: 94%

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Jain¹,

Garg²,

Rastogi³

et al. 2014

J Anesth Clin Res

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Background: Laryngoscopy and tracheal intubation are often associated with hypertension, tachycardia, and an increase in plasma catecholamine concentrations. The present study was done to compare the hemodynamic response during tracheal intubation, guided by either Lightwand or Direct laryngoscopy. Method and patients: Seventy adult consented patients of ASA I or II aged 18-58 years of either sex scheduled for elective surgeries from September 2011 to March 2013 were randomized according to sealed envelopes into two groups of 35 patients each. The patients of Group LWI were intubated with lighted stylet (Lightwand, GE) and patients of Group DLI were intubated using direct laryngoscope (Macintosh). Any patient with history of systemic hypertension and cardiopulmonary disease, hepatic, renal or endocrine disorder, difficult airway or MP Grade III & IV, history of previous difficult tracheal intubation or patient who required more than 30 seconds or more than one attempt for intubation were excluded. The anesthetic induction technique was standardized. The hemodynamic parameters of heart rate, blood pressure and ECG were recorded, at baseline, after induction, after tracheal intubation and then at regular interval of 1 min for 5 min after tracheal intubation. Intubation time was noted by stopwatch. Results: There was no significant difference in demographic profile, in terms of changes in blood pressure and heart rate during laryngoscopy and after tracheal intubation between groups. Post intubation dysphasia, hoarseness, sore throat were also comparable between the groups. Conclusion: The effects of Lightwand technique on hemodynamic response to tracheal intubation were similar to those of direct laryngoscopy. J o u rn al of A n e s th es ia & C li n ic a l Resea rc h

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Section: Hirabayashi Et Al Compared the Hemodynamic Responses Duringsupporting

confidence: 94%

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Jain¹,

Garg²,

Rastogi³

et al. 2014

J Anesth Clin Res

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“…This is because manipulation of the airway scope causes less glottal stimulation than the Macintosh device. To decrease hemodynamic changes during tracheal intubation, fentanyl or remifentanil may be injected before the procedure [13]. Nishikawa et al [14] reported that in normotensive patients, intubation with the lightwand took longer than the laryngoscope, but hemodynamic changes after tracheal intubation were less profound.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope^®, Lightwand and Macintosh laryngoscopes during remifentanil infusion

et al. 2017

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“…The previous study by Takahashi et al, which assessed young and healthy patients, showed no difference in changes of HR, SBP, and DBP between the lightwand and direct laryngoscope intubation [ 14 ]. Similarly, Yoon et al [ 15 ] also demonstrated that changes in HR and MBP were similar between the two procedures when performing intubation in patients with cerebral aneurysms. Several studies have supported these findings, showing little to no difference in the trend of hemodynamic changes [ 12 – 16 ].…”

Section: Discussionmentioning

confidence: 80%

Dosing study of esmolol for reducing hemodynamic changes during lightwand intubation

et al. 2020

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Background: Lightwand is a convenient tool that can be used instead of a laryngoscope for intubation. Tracheal intubation causes direct stimulation of the larynx, drastically increasing hemodynamic values including blood pressure and heart rate. This study aims to identify the effect of different doses of esmolol on hemodynamic changes during lightwand intubation.Methods: The study subjects included 140 patients who underwent general anesthesia for elective surgery. The patients were randomly divided into four groups (35 patients in each group). The ‘C’ group only received 20 ml of normal saline, while the ‘E0.5’, ‘E1’, and ‘E2’ groups received 20 ml of normal saline containing esmolol—0.5 mg/kg, 1 mg/kg, and 2 mg/kg, respectively, injected 2 min prior to intubation. The patients’ blood pressure, heart rate, and rate-pressure product were measured six times, before and after the intubation.Results: The degree of heart rate elevation was suppressed in the E1 and E2 groups compared to the C group, and RPP after intubation significantly decreased in the E2 group compared to the C group.Conclusions: 1–2 mg/kg of a single esmolol injection prior to lightwand intubation effectively blunts heart rate elevation, and 2 mg/kg of esmolol injection blunts rate-pressure product elevation.

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Hemodynamic changes after endotracheal intubation in patients with cerebral aneurysm (lightwand vs laryngoscope)

Cited by 3 publications

References 1 publication

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope^®, Lightwand and Macintosh laryngoscopes during remifentanil infusion

Dosing study of esmolol for reducing hemodynamic changes during lightwand intubation

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Hemodynamic changes after endotracheal intubation in patients with cerebral aneurysm (lightwand vs laryngoscope)

Cited by 3 publications

References 1 publication

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Comparative Evaluation of Lightwand (Lighted Stylet) with Direct Laryngoscopy on Hemodynamic Response- A Prospective Study

Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope®, Lightwand and Macintosh laryngoscopes during remifentanil infusion

Dosing study of esmolol for reducing hemodynamic changes during lightwand intubation

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Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope^®, Lightwand and Macintosh laryngoscopes during remifentanil infusion