Hemodynamic Responses Among Three Tracheal Intubation Devices in Normotensive and Hypertensive Patients

Kihara, Shinichi; Brimacombe, J.; Yaguchi, Yuichi; Watanabe, Seiji; Taguchi, Noriko; Komatsuzaki, Tetsuya

doi:10.1213/01.ane.0000048706.15720.c9

Cited by 112 publications

(93 citation statements)

References 19 publications

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“…Hypertensive patients have an exaggerated hemodynamic stress response compared with normotensive patients [16]. Video laryngoscope allow visualization of enlarged video image of airway structures and make alignment of the oral, pharyngeal, and tracheal axes unnecessary.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Mogahed¹,

Elghamri²,

Anwar³

2017

J Anesth Clin Res

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Section: Discussionmentioning

confidence: 99%

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Mogahed¹,

Elghamri²,

Anwar³

2017

J Anesth Clin Res

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“…These may prolong recovery time and may lead to cardiovascular complications. Kihara et al has demonstrated that LMA had no significant change on heart rate, s y stolic blood pressure,diastolic blood pressure compared to Macintosch laryngoscopy in hypertensive patient 9 . An our study we used normotensive sample and found the same result.…”

Section: Discussionmentioning

confidence: 98%

Comparative Study of Haemodynamic Changes between Endotracheal Intubations and LMA Insertion

Harun-Or-Rashid

Meftahuzzaman

Islam

et al. 2009

j Bangladesh Soc Anaesthesiologists

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To compare the haemodynamic changes between LMA insertion & endotracheal intubation, 60 patients were assigned randomly to one of the two groups of thirty each. They were grouped randomly by card sampling. Every patient included in the study was allowed a card preoperatively. According to the card number patients were grouped. Group A. Airway was maintained by LMA. Group B: Airway was maintained by ETT. Haemodynamic parameter i.e. pulse rate, systolic blood pressure, diastolic blood pressure and presence of any dysrhythmia were monitored after 1,3,5 & 10 minutes after LMA insertion or ETT intubations. There was statistically significant changes (P<0.05) in pulse rate, systolic blood pressure, diastolic blood pressure and (appearance of dysrhythmia in some patients) in group ti patients whereas there was less changes in pulse rate, systolic blood pressure, diastolic blood pressure whose airway was maintained by LMA insertion (Group-A). We conclude that LMA insertion causes less Haemodynamic changes than that of endotracheal intubation. So LMA insertion is safer than ETT intubations in some selected patients. Journal of BSA, Vol. 19, No. 1 & 2, 2006 p.28-32

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“…[10,11,12,13,14] Our study compared Talwalkar`s fibrelite stylet by Anaesthetics with direct laryngoscopy. Talwalkar`s fibrelite stylet has advantages of being cheap and easily available.…”

Section: Discussionmentioning

confidence: 99%

“…Mean duration of attempts in TFS group is significantly more than the mean duration of www.iosrjournals.org 162 | Page attempts in LS group. 10,11,12 Tip of the TFS is not flexible and its movement cannot be controlled from outside. This causes increased need of maneuvering during intubation that explains the significantly more intubation time in TFS group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical efficacy of Talwalkar fibrelite stylet (TFS) versus direct laryngoscopic technique for orotracheal intubation in adult patients undergoing general anaesthesia

Zadkar¹,

Patel²,

Oak³

et al. 2016

IOSR

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Direct laryngoscopy is well proven and most commonly used technique of orotracheal intubation.Lighted stylet device is also an established technique of orotracheal intubation. Talwalkar`s fibrelite stylet is a type of lighted stylet deviced for orotracheal intubation. This study compares the clinical efficacy of TFS versus direct laryngoscopic technique for orotracheal intubation. Materials & Methods:Hundred patients were randomized to undergo tracheal intubation with either the Talwalkar fibrelite stylet (TFS group, n = 50) or the direct laryngoscope (LS group, n=50). Intubation was attempted with the assigned airway device. The data collected included the rate of successful endotracheal intubation, the number of attempts required, the duration of the intubation, as well as adverse effects. Statistical Analysis:The statistical analysis of the study was carried out by using ANOVA application, Chi square test, (Pearson Chai square test) wherever applicable. Results: In laryngoscopy group 45(95%) intubations were successful in first attempt, while 5(10%) required second attempt. In TFS group 30(60%) intubations were successful in first attempt and 20 (40%) required second attempt. The duration of successful intubation for the first tracheal intubation attempt was comparable in both groups. All intubations were completed successfully within two intubation attempt. Conclusions: As compared to conventional direct laryngoscopy, TFS is associated with fewer complications and correct positioning of endotracheal tube, hence it can be safe & effective device of intubation.

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Hemodynamic Responses Among Three Tracheal Intubation Devices in Normotensive and Hypertensive Patients

Abstract: Both the intubating laryngeal mask airway Fastrach and the Trachlight lightwand attenuate the hemodynamic stress response to tracheal intubation compared with the Macintosh laryngoscope in hypertensive, but not in normotensive, anesthetized paralyzed patients.

Cited by 112 publications

References 19 publications

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Comparative Study of Haemodynamic Changes between Endotracheal Intubations and LMA Insertion

Comparison of clinical efficacy of Talwalkar fibrelite stylet (TFS) versus direct laryngoscopic technique for orotracheal intubation in adult patients undergoing general anaesthesia

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Hemodynamic Responses Among Three Tracheal Intubation Devices in Normotensive and Hypertensive Patients

Abstract: Both the intubating laryngeal mask airway Fastrach and the Trachlight lightwand attenuate the hemodynamic stress response to tracheal intubation compared with the Macintosh laryngoscope in hypertensive, but not in normotensive, anesthetized paralyzed patients.

Cited by 112 publications

References 19 publications

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Comparative Study of Intubation Performance between Macintosh, the Channeled King Vision and the C-MAC D-Blade Videolaryngoscope in Controlled Hypertensive Patients

Comparative Study of Haemodynamic Changes between Endotracheal Intubations and LMA Insertion

Comparison of clinical efficacy of Talwalkar fibrelite stylet (TFS) versus direct laryngoscopic technique for orotracheal intubation in adult patients undergoing general anaesthesia

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Comparative Study of Haemodynamic Changes between Endotracheal Intubations and LMA Insertion