TO COMPARE THE HAEMODYNAMIC RESPONSE TO LARYNGOSCOPY AND TRACHEAL INTUBATION USING THE STANDARD MACINTOSH LARYNGOSCOPE VERSUS VIDEOLARYNGOSCOPE AMONG HEALTHY ADULT INDIVIDUALS RECEIVING GENERAL ANAESTHESIA FOR ELECTIVE SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 41
Abstract
BACKGROUND Laryngoscopy and endotracheal intubation are associated with various undesirable effects. The more common response to airway manipulation is hypertension (HTN) and tachycardia mediated by the cardioaccelerator nerves and sympathetic chain ganglia. Numerous efforts have been made by anaesthesiologists to obtund these untoward reflexes by the use of various measures such as by using drugs or by using different methods of intubation. MATERIALS AND METHODS 100 patients of either sex of ASA grade I and II and Mallampati grade I and II of age 18 - 60 years were included in the study. Patients < 18 years of age and > 60 years of age and Mallampati grade III and IV were excluded from the study. A standard anaesthesia technique was used in all the patients. Both groups were matched demographically. Haemodynamic variables at baseline were also comparable. RESULTS It was observed that rise in pulse rate, systolic blood pressure, diastolic blood pressure and mean BP was significantly less in videolaryngoscope group as compared to Macintosh group (p < 0.01). CONCLUSION It was concluded that videolaryngoscope produces significantly less marked haemodynamic response
Authors and Affiliations
Utsav Sharma, Preeti Goyal, Anju Gautam, Bhanu Chaudhary
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