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Comparison of hemodynamic response to tracheal intubation with laryngoscope versus intubating laryngeal mask airway in elderly hypertensive patients
Author
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 9, Issue 1 (31 Mar. 2016), pp.34-38, 5 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2016-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Management of airways during intubation is a very stressful process that affects the hemodynamics, especially in elderly hypertensive patients.
We aimed in this study to compare the hemodynamic response to tracheal intubation in elderly hypertensive patients using ILMA and Direct laryngoscopy.
We aim in this study to prove that hemodynamic consequences with intubation using ILMA is that intubation with an ILMA has less hemodynamic consequences that last for a shorter period compared with DL in elderly hypertensive.
Patients and methods A total of 70 patients of both sexes, ASA physical status II, above 60 years of age, undergoing elective abdominal surgery lasting less than 2 h were divided randomly using a regular sample method into two equal groups.
Intubation was performed using a Macintosh laryngoscope in group (direct laryngoscopy), and in the second group [intubating laryngeal mask airway (ILMA)] intubation was performed with laryngeal mask airway.
Hemodynamic data and oxygen saturation were recorded.
Intraoperative adverse effects and postoperative complications such as sore throat, hoarseness of voice (during the fi rst 24 h after surgery), and laryngospasm were recorded.
Results There was a signifi cant increase in heart rate and mean arterial blood pressure immediately after laryngoscopy and tracheal intubation until 3 min when compared with ILMA.
Moreover, there was signifi cant increase in heart rate, mean arterial blood pressure, and rate pressure product after tracheal extubation for 3 min, whereas it was for 1 min in the ILMA group.
No signifi cant difference was seen between the number of patients with or without symptoms after extubation in both groups.
Conclusion Intubation with ILMA has less hemodynamic consequences for a shorter time compared with direct laryngoscopy in elderly hypertensive patients.
American Psychological Association (APA)
Abd al-Fattah, Muhammad M.. 2016. Comparison of hemodynamic response to tracheal intubation with laryngoscope versus intubating laryngeal mask airway in elderly hypertensive patients. Ain Shams Journal of Anesthesiology،Vol. 9, no. 1, pp.34-38.
https://search.emarefa.net/detail/BIM-678976
Modern Language Association (MLA)
Abd al-Fattah, Muhammad M.. Comparison of hemodynamic response to tracheal intubation with laryngoscope versus intubating laryngeal mask airway in elderly hypertensive patients. Ain Shams Journal of Anesthesiology Vol. 9, no. 1 (Jan. / Mar. 2016), pp.34-38.
https://search.emarefa.net/detail/BIM-678976
American Medical Association (AMA)
Abd al-Fattah, Muhammad M.. Comparison of hemodynamic response to tracheal intubation with laryngoscope versus intubating laryngeal mask airway in elderly hypertensive patients. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 1, pp.34-38.
https://search.emarefa.net/detail/BIM-678976
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 83
Record ID
BIM-678976