COMPARISON OF THE HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROPTIC BRONCHOSCOPY METHOD IN HYPERTENSIVE PATIENTS

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FARBOUD A.; KAMALIPOUR H.; SAHM ALDINI M.A.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2009 | Volume:31 | Issue:67 Page(s): 50-57

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Title

COMPARISON OF THE HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROPTIC BRONCHOSCOPY METHOD IN HYPERTENSIVE PATIENTS

Author(s)

FARBOUD A. | KAMALIPOUR H. | SAHM ALDINI M.A. | Issue Writer Certificate

Keywords

TRACHEAL INTUBATIONQ3

FIBEROPTIC BRONCHOSCOPYQ3

LARYNGOSCOPYQ3

HEMODYNAMIC RESPONSEQ3

Abstract

Background: LARYNGOSCOPY and TRACHEAL INTUBATION have often been associated with increased blood pressure and heart rate. One of the proposed methods for reducing these changes is to use fiberoptic bronchoscope for TRACHEAL INTUBATION. In the present study hemodynamic changes after fiberoptic intubation has been compared with laryngoscopic method in hypertensive patients.Materials and methods: 94 hypertensive patients who have not received antihypertensive medication for at least 10 days randomly allocated in two groups and were anesthetized in same manner. Intubation in one group was performed with fiberoptic bronchoscope and in the other group by laryngoscope. Hemodynamic parameters including heart rate, systolic and diastolic blood pressure were recorded before induction (baseline), before intubation and 2, 4 and 6 minutes after intubation. Results: Heart rate at 2 minutes and diastolic blood pressure at 4 minutes after intubation in the fiberoptic group and systolic blood pressure at 6 minutes after intubation in the LARYNGOSCOPY group were significantly higher than the other group. Comparison of the data obtained after intubation with preintubation values revealed a significant rise except for diastolic blood pressure and heart rate at 6 minutes in the fiberoptic group.Conclusion: The findings of this study reveal that the hemodynamic change at the early moments of intubation is more prominent with the fiberoptic method while its duration is shorter than laryngoscopic intubation. It seems that the FIBEROPTIC BRONCHOSCOPY can not help more in attenuation of hemodynamic reflexes to intubation in hypertensive patients.

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APA: Copy

FARBOUD, A., KAMALIPOUR, H., & SAHM ALDINI, M.A.. (2009). COMPARISON OF THE HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROPTIC BRONCHOSCOPY METHOD IN HYPERTENSIVE PATIENTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 31(67), 50-57. SID. https://sid.ir/paper/63149/en

Vancouver: Copy

FARBOUD A., KAMALIPOUR H., SAHM ALDINI M.A.. COMPARISON OF THE HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROPTIC BRONCHOSCOPY METHOD IN HYPERTENSIVE PATIENTS. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2009;31(67):50-57. Available from: https://sid.ir/paper/63149/en

IEEE: Copy

A. FARBOUD, H. KAMALIPOUR, and M.A. SAHM ALDINI, “COMPARISON OF THE HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROPTIC BRONCHOSCOPY METHOD IN HYPERTENSIVE PATIENTS,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 31, no. 67, pp. 50–57, 2009, [Online]. Available: https://sid.ir/paper/63149/en

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