Attenuating the hypertensive response to laryngoscopy and endotracheal intubation using awake fibreoptic intubation
| Autor: | A. Morrison, L. A. Doyle, P. N. Wake, R. S. Croton, S. J. Hawkyard |
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| Rok vydání: | 1992 |
| Předmět: |
Male
Mean arterial pressure medicine.medical_specialty medicine.medical_treatment Laryngoscopy Pain Hemodynamics Endotracheal intubation Blood Pressure Anesthesia General Nose Bronchoscopy Intubation Intratracheal medicine Fiber Optic Technology Humans Intubation General anaesthesia Prospective Studies Pulse Prospective cohort study medicine.diagnostic_test business.industry General Medicine Middle Aged Deglutition Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Blood pressure Anesthesia Hypertension Mann–Whitney U test Pharynx Female business Anesthesia Local |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 36:1-4 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.1992.tb03412.x |
| Popis: | Blood pressure and pulse rate measurements were recorded in 35 patients undergoing endotracheal intubation during general anaesthesia (Group A), and 35 patients who had an awake fibreoptic intubation under local anaesthesia (Group B). The mean arterial pressure in Group A rose by a mean of 35 mmHg immediately after intubation, compared with a mean fall of 9 mmHg in Group B. The mean pulse rate in Group A rose by 24 beats per minute (b.p.m.) immediately after intubation, compared with a rise of 3 b.p.m. in Group B. Both these differences were statistically significant (P less than 0.0001 and P less than 0.001 respectively, Mann Whitney U test). Postoperative discomfort was assessed 24 h later by means of linear analogue scales. There was a statistically higher mean score in relation to nose discomfort in Group B (P less than 0.002). Awake fibreoptic intubation successfully reduces the pressor response to endotracheal intubation in normotensive adults. It is suitable for use in those patients who are at risk from the pressor response. |
| Databáze: | OpenAIRE |
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