COMPARISON OF HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROSCOPY IN PATIENTS UNDERGOING OPEN HEART SURGERY

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AGHDAII N.; FARASAT KISH R.; YAZDANIAN F.; AZAR FARIN R.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:24 | Issue:43 Page(s): 41-48

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Title

COMPARISON OF HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROSCOPY IN PATIENTS UNDERGOING OPEN HEART SURGERY

Author(s)

AGHDAII N. | FARASAT KISH R. | YAZDANIAN F. | AZAR FARIN R. | Issue Writer Certificate

Keywords

FIBEROPTIC LARYNGOSCOPYQ4

DIRECT LARYNGOSCOPYQ4

HEMODYNAMIC STABILITYQ4

Abstract

The major responsibility of the anesthesiologist is to provide adequate respiration for the patient by airway management. For this reason endotracheal intubation is used currently during general anesthesia. Laryngoscope and intubation are powerful noxious stimuli, and this response may have unacceptable cardiovascular effects. Furthermore, deeper levels of anesthesia are required to blunt the response to laryngoscope and intubation that is not suitable for cardiac patients. The other recommended option is use of fiberoptic laryngoscope for tracheal intubation. There are some studies proving HEMODYNAMIC STABILITY with fiberoptic laryngoscope.On the other hand there are some studies that don't confirm and reject this hypothesis, because HEMODYNAMIC STABILITY is very important specially in cardiac surgery. The present study is a prospective randomized clinical trial analysis on 50 patients undergoing open heart surgery in Shahid Rajaii Heart Center. Inclusion criteria included: ASA physical status 2 and airway class 1 and 2 Cormack patients with mean age 53± 8 years and mean ejection fraction of 47± 3% Patients were divided into two groups (n=25 in each group). In each groups 16 patients were male and 9 of them were female. Selection of the type and the dose of premedication and anesthetic drugs in two groups were the same. The patients were randomly intubated by laryngoscope and fiberoscope. Their heart rate and blood pressure were recorded in 5 stages. The required time for intubation with each of the instruments was recorded by the assistant of the investigator. After collection of data and statistically analysis, we found that although the heart rate and blood pressure changes were important clinically at different stages of anesthesia, there were no significant differences between the two groups.(p<0.05)

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APA: Copy

AGHDAII, N., FARASAT KISH, R., YAZDANIAN, F., & AZAR FARIN, R.. (2003). COMPARISON OF HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROSCOPY IN PATIENTS UNDERGOING OPEN HEART SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 24(43), 41-48. SID. https://sid.ir/paper/63373/en

Vancouver: Copy

AGHDAII N., FARASAT KISH R., YAZDANIAN F., AZAR FARIN R.. COMPARISON OF HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROSCOPY IN PATIENTS UNDERGOING OPEN HEART SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;24(43):41-48. Available from: https://sid.ir/paper/63373/en

IEEE: Copy

N. AGHDAII, R. FARASAT KISH, F. YAZDANIAN, and R. AZAR FARIN, “COMPARISON OF HEMODYNAMIC CHANGES FOLLOWING TRACHEAL INTUBATION WITH DIRECT LARYNGOSCOPY AND FIBEROSCOPY IN PATIENTS UNDERGOING OPEN HEART SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 24, no. 43, pp. 41–48, 2003, [Online]. Available: https://sid.ir/paper/63373/en

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