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Clinical Investigations

Comparison of haemodynamic responses to orotracheal intubation in anaesthetised and paralysed patients with simulated cervical spine injury: Airtraq® video laryngoscope versus Fibreoptic bronchoscope

Authors:

Ajith kumar Pillai,

Manipal Academy of Higher Education, IN
About Ajith kumar
Assistant Professor, Department of Anaesthesia, Kastutba Medical college
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Shiyad Muhamed ,

Manipal Academy of Higher Education, IN
About Shiyad
Assistant Professor, Department of Anaesthesia, Kastutba Medical college
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Manu Giri,

Manipal Academy of Higher Education, IN
About Manu
Junior Resident, Department of Anaesthesia, Kastutba Medical college
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Kailasnath Shenoy,

Manipal Academy of Higher Education, IN
About Kailasnath
Professor, Department of Anaesthesia, Kasturba Medical College
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Shaji Mathew,

Manipal Academy of Higher Education, IN
About Shaji
Professor, Department of Anaesthesia, Kasturba Medical College
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Arunkumar Handittu Dugappa,

Manipal Academy of Higher Education, IN
About Arunkumar
Associate Professor, Department of Anaesthesia, Kasturba Medical College
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Ramzi Aboo Rahman

Manipal Academy of Higher Education, IN
About Ramzi Aboo
Senior Resident, Department of Anaesthesia, Kasturba Medical College
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Abstract

Background: Endotracheal intubation may produce haemodynamic fluctuations which may be deleterious in patients with cardiovascular and neurological disorders. This is further worsened in patients with difficult airway. This study was conducted to compare haemodynamic fluctuations produced when intubation was done using Airtraq and fibreoptic bronchoscopy which are used in patients with anticipated difficult airway.

Methodology: Prospective randomized study. Eighty patients, ASA PS 1 and 2 undergoing elective surgery were randomized into two groups – Group A and Group F. After routine induction and muscle relaxation, orotracheal intubation was done using Airtraq in Group A and fibreoptic bronchoscope in Group F. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration and number of attempts for intubation were also noted

Results: There was no significant difference in the average of variation in HR (p=0.384), SBP (p=0.179), DBP (p=0.746) and MAP (p=0.057) from the baseline between the two groups. Duration of intubation in FOB group (mean value of 56.98 s) was more than Airtraq® video laryngoscope group (mean value of 37.38 s) which was statistically significant.

Conclusion: Use of fibreoptic bronchoscope offer no added advantage over Airtraq video laryngoscope in terms of haemodynamic response for intubation in difficult airway situation such as cervical spine injury.

 

 

How to Cite: Pillai, A. kumar ., Muhamed, S., Giri, M., Shenoy, K., Mathew, S., Handittu Dugappa, A. and Rahman, R.A., 2019. Comparison of haemodynamic responses to orotracheal intubation in anaesthetised and paralysed patients with simulated cervical spine injury: Airtraq® video laryngoscope versus Fibreoptic bronchoscope. Sri Lankan Journal of Anaesthesiology, 27(2), pp.145–150. DOI: http://doi.org/10.4038/slja.v27i2.8394
Published on 24 Jul 2019.
Peer Reviewed

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