Haemodynamic Response to Four Different Laryngoscopes

Autor: Anil Ozonur, Demet Altun, Achmet Ali, Emre Camci, Tülay Özkan Seyhan
Rok vydání: 2018
Předmět:
Zdroj: Turkish Journal of Anesthesia and Reanimation. 46:434-440
ISSN: 2149-276X
2149-0937
DOI: 10.5152/tjar.2018.59265
Popis: Objective In this prospective randomized study, we aimed to evaluate the effect of tracheal intubation with four different laryngoscopes [Macintosh direct laryngoscope-classic laryngoscope (CL), McCoy (MC), C-Mac video-laryngoscope (CM) and McGrath video-laryngoscope (MG)] on haemodynamic responses in patients with a normal airway. Methods One hundred and sixty patients were included. Succeeding haemodynamic measurements were performed immediately after intubation (T2) and for 5 min with 1-min intervals (T3-T4-T5-T6-T7). The primary outcome was the heart rate (HR) and systolic blood pressure (SBP) change triggered by the four different laryngoscopes. The intubation time, the number of intubation attempts, need for stylet or additional manipulation, glottic view and traumatic complications caused by intubation procedure were recorded as secondary outcomes. Results HR values significantly increased with the completion of laryngoscopy and intubation at T2 for the CL, MC and CM groups. Lesser fluctuation in HR and SBP was observed in the MG group. Intubation time was significantly shorter in the MG group (p
Databáze: OpenAIRE