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Vol - 29, Issue - 04
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[This article belongs to Volume - 29, Issue - 04]
International Medical Journal
Journal ID
:
IMJ-18-03-2022-1333
Total View
:
453
Title
:
COMPARATIVE EVALUATION OF HEMODYNAMIC RESPONSE WITH FASTRACH INTUBATING LARYNGEAL AIRWAY AND LARYNGOSCOPIC INTUBATION
Abstract
: Airway managements by direct laryngoscopy and endotracheal intubation during general anaesthesia are known to induce clinical changes in hemodynamic variables such as tachycardia, hypertension, and arrhythmias, which can cause myocardial ischemia. In order to prevent adverse cardiovascular responses, laryngeal mask airway can be used instead of laryngoscopy and tracheal intubation during airway management. The aim of our study is to compare the hemodynamic response with FASTRACH intubating laryngeal mask airway (ILMA) and Macintosh laryngoscopic intubation. Institute Ethics Committee Clearance was obtained before start of study. Study was carried out on 78 patients belonging to ASA grade I and II, aged between 18 to 65 years, including either gender. Patients were divided into Group M:Intubation using Macintosh laryngoscope and Group L:Intubation using FASTRACH LMA. After obtaining informed written consent from patients in their own understandable language, they were randomly assigned to one of the two groups based on WINPEPI APP. Mean heart rate when compared showed significant increase in group M whereas there was slight increase noted in group L. Systolic blood pressure and mean arterial blood pressure showed increase in both group after intubation. Diastolic blood pressure showed significant increase in group M whereas in group L significant decrease was observed. There were no ECG abnormalities noted in both groups. Based on our study we concluded that intubation using FASTRACH ILMA is associated with less cardiovascular response and hemodynamic changes when compared with Macintosh laryngoscope.
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