CHANGES IN THE HAEMODYNAMIC RESPONSE FOLLOWING ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY INSERTION IN HYPERTENSIVE PATIENTS- A COMPARATIVE STUDY
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 8, Issue 1
Abstract
Endotracheal intubation with the help of a laryngoscope has become a routine part of delivering a general anaesthetic. In general, intubation is indicated for patients who are at risk of aspiration and for those undergoing surgical procedures (1,2). Tracheal intubation causes a reflex increase in sympathetic activity that may result in rise in blood pressure, heart rate, and arrhythmia (3). A change in plasma catecholamine concentrations also has been demonstrated to be a part of the stress response to tracheal intubation. Various supraglottic devices have provided conflicting evidence of an attenuated haemodynamic response. Materials and Methods: 100 Patients divided into two groups (n=50)of 25-60 years of age of either sex with hypertension stage-1 of A SA grade II on oral anti-hypertensives drugs were selected for the study and endotracheal tube inserted in ET group where as LMA inserted in group LMA. Results: Haemodynamics (heart rate, blood pressure, rate pressure product) changes is more in group ET after induction compared to group LMA. Conclusion: Pressor response and duration of the pressor response to laryngeal mask airway insertion is much less than that of laryngoscopy and endotracheal intubation which establishes the usefulness of LMA in hypertensive patients.
Authors and Affiliations
Dr Tushar Majumdar, Dr Joydeep Debnath
Keywords
Related Articles
- EP ID EP381448
- DOI -
- Views 78
- Downloads 0
EFFECT OF BODY MASS INDEX ON RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY IN THE TREATMENT OF LOWER CALYCEAL STONE >2CM
Background: This work was intended to distinguish the results of Percutaneous Nephrolithotomy (PCNL) related to stone-free rates (SFR) by the varying body mass index (BMI) of the patients who subjected for lower calyx st...
HERPES ZOSTER OPHTHALMICUS: CLINICAL PROFILE AND MANAGEMENT, A PROSPECTIVE STUDY AT A TERTIARY HEALTH CARE CENTRE, WESTERN ODISHA
Purpose–To study the clinical prole and management of herpes zoster ophthalmicus over a period of two and half years in a tertiary health care centre. Material and methods- it is a prospective study done on 32 patients...
CORRELATION BETWEEN BLOOD VOLUME AND AMPLITUDE OF QRS COMPLEX IN YOUNG HEALTHY INDIVIDUALS
Back ground Hemodynamic instability following trauma is perhaps the commonest cause of loss of life. The standard vital signs used to determine hemodynamic status are static measurements rather than dynamic, and may not...
URINARY INCONTINENCE IN WOMEN: PRIMARY HEALTHCARE PHYSICIANS' KNOWLEDGE AND PRACTICE IN THE EASTERN PROVINCE, SAUDI ARABIA
Urinary incontinence (UI) in women is an awkward, often undiscussed subject, associated with anxiety, depression, social isolation and affecting quality of life. This study aimed to assess primary healthcare physicians'...
SERUM INFLAMMATORY MARKERS OF DIABETIC KIDNEY DISEASE AND THEIR CORRELATION TO LIPID PARAMETERS AMONG DIABETIC INDIVIDUALS OF EASTERN INDIA
Background : Diabetes mellitus is the leading cause of chronic renal failure . As the period of diabetes progresses there is simultaneous increase of inflammatory markers like high sensitive C reactive protein (hsCRP) wi...