Effects of intubation with a double-lumen endotracheal tube on intraocular pressure during rapid sequence induction using succinylcholine chloride in patients with or without underlying systemic hypertension
| Autor: | Chan-oh Park, Jae Min Lee, Hojun Ro |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Intraocular pressure
genetic structures medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Clinical Research 030202 anesthesiology medicine Intubation In patient cardiovascular diseases 030212 general & internal medicine SUCCINYLCHOLINE CHLORIDE Gynecological surgery Double-lumen tracheal tube business.industry Neuromuscular Physiology and Pharmacology Tracheal intubation General Medicine Rapid sequence induction Double-lumen endobronchial tube eye diseases intratracheal Anesthesia Hypertension business |
| Zdroj: | Anesthesia and Pain Medicine |
| ISSN: | 2383-7977 1975-5171 |
| DOI: | 10.17085/apm.2019.14.4.449 |
| Popis: | Background Tracheal intubation is closely associated with increases in intraocular pressure (IOP); however, the effects of double-lumen tube (DLT) intubation on IOP have not been validated. Systemic hypertension (HTN) is another factor that may increase IOP. In this study, we observed differences in IOP increases between DLT and singlelumen tube (SLT) intubation, and evaluated the influence of underlying HTN during rapid sequence induction. Methods Sixty-eight patients were allocated into one of the following group: SLT/without HTN (n = 17), SLT/HTN (n = 17), DLT/without HTN (n = 17), and DLT/HTN (n = 17). An SLT was inserted for orthopedic or gynecological surgery, and a DLT was inserted for lung surgery after rapid sequence induction using succinylcholine. IOP was measured before anesthetic induction and until 10 min after intubation using a handheld tonometer (Tono-Pen AVIA®). Results In the DLT/without HTN and DLT/HTN groups, the maximum increases in IOPs after tracheal intubation were 7.9 and 12.2 mmHg, respectively, compared to baseline. In the SLT/without HTN and SLT/HTN groups, the maximum increases were 5.0 and 4.9 mmHg, respectively, compared to baseline. In comparisons between patients with and without underlying HTN, the values of IOPs were comparable. Conclusions Tracheal intubation with a DLT is associated with more increases in IOPs than with an SLT in rapid sequence induction. Well-controlled underlying hypertension did not increase IOP during tracheal intubation. |
| Databáze: | OpenAIRE |
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