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Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension
BACKGROUND: Tracheal intubation can be associated with considerable hemodynamic changes, particularly in patients with uncontrolled hypertension. The GlideScope(®) video-laryngoscope (GVL) is a novel video laryngoscope that does not need direct exposure of the vocal cords, and it can also produce lo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253794/ https://www.ncbi.nlm.nih.gov/pubmed/25478537 http://dx.doi.org/10.5812/cardiovascmed.17598 |
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author | Dashti, Majid Amini, Shahram Azarfarin, Rasoul Totonchi, Ziae Hatami, Maryam |
author_facet | Dashti, Majid Amini, Shahram Azarfarin, Rasoul Totonchi, Ziae Hatami, Maryam |
author_sort | Dashti, Majid |
collection | PubMed |
description | BACKGROUND: Tracheal intubation can be associated with considerable hemodynamic changes, particularly in patients with uncontrolled hypertension. The GlideScope(®) video-laryngoscope (GVL) is a novel video laryngoscope that does not need direct exposure of the vocal cords, and it can also produce lower hemodynamic changes due to lower degrees of trauma and stimuli to the oropharynx than a Macintosh direct laryngoscope (MDL). OBJECTIVES: The aim of this clinical trial was to compare hemodynamic alterations following tracheal intubation with a GVL and MDL in patients with uncontrolled hypertension. PATIENTS AND METHODS: Sixty patients who had uncontrolled hypertension and scheduled for elective surgery requiring tracheal intubation, were randomly assigned to receive intubated with either a GVL (n = 30) or a MDL (n = 30). Intubation time, heart rate, rate pressure product (RPP), and mean arterial blood pressure (MAP), were compared between the two groups at; baseline, following induction of anesthesia, after intubation, and at one minute intervals for 5 minutes. RESULTS: A total of 59 patients finished the study. Intubation time was longer in the GVL group (9.80 ± 1.27 s) than in the MDL group (8.20 ± 1.17 s) (P < 0.05). MAP, pulse rate, and RPP were lower in the GVL than the MDL group after endotracheal intubation (P < 0.05). MAP, heart rate, and RPP returned to pre-intubation values at 3 and 4 minutes after intubation in the GVL and MDL groups, respectively (P < 0.05). CONCLUSIONS: Hemodynamic fluctuations in patients with uncontrolled hypertension after endotracheal intubation were lower with the GVL than the MDL technique. |
format | Online Article Text |
id | pubmed-4253794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-42537942014-12-04 Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension Dashti, Majid Amini, Shahram Azarfarin, Rasoul Totonchi, Ziae Hatami, Maryam Res Cardiovasc Med Research Article BACKGROUND: Tracheal intubation can be associated with considerable hemodynamic changes, particularly in patients with uncontrolled hypertension. The GlideScope(®) video-laryngoscope (GVL) is a novel video laryngoscope that does not need direct exposure of the vocal cords, and it can also produce lower hemodynamic changes due to lower degrees of trauma and stimuli to the oropharynx than a Macintosh direct laryngoscope (MDL). OBJECTIVES: The aim of this clinical trial was to compare hemodynamic alterations following tracheal intubation with a GVL and MDL in patients with uncontrolled hypertension. PATIENTS AND METHODS: Sixty patients who had uncontrolled hypertension and scheduled for elective surgery requiring tracheal intubation, were randomly assigned to receive intubated with either a GVL (n = 30) or a MDL (n = 30). Intubation time, heart rate, rate pressure product (RPP), and mean arterial blood pressure (MAP), were compared between the two groups at; baseline, following induction of anesthesia, after intubation, and at one minute intervals for 5 minutes. RESULTS: A total of 59 patients finished the study. Intubation time was longer in the GVL group (9.80 ± 1.27 s) than in the MDL group (8.20 ± 1.17 s) (P < 0.05). MAP, pulse rate, and RPP were lower in the GVL than the MDL group after endotracheal intubation (P < 0.05). MAP, heart rate, and RPP returned to pre-intubation values at 3 and 4 minutes after intubation in the GVL and MDL groups, respectively (P < 0.05). CONCLUSIONS: Hemodynamic fluctuations in patients with uncontrolled hypertension after endotracheal intubation were lower with the GVL than the MDL technique. Kowsar 2014-04-01 2014-05 /pmc/articles/PMC4253794/ /pubmed/25478537 http://dx.doi.org/10.5812/cardiovascmed.17598 Text en Copyright © 2014, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran; Published by Kowsar Corp. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Dashti, Majid Amini, Shahram Azarfarin, Rasoul Totonchi, Ziae Hatami, Maryam Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title | Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title_full | Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title_fullStr | Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title_full_unstemmed | Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title_short | Hemodynamic Changes Following Endotracheal Intubation With Glidescope(®) Video-Laryngoscope in Patients With Untreated Hypertension |
title_sort | hemodynamic changes following endotracheal intubation with glidescope(®) video-laryngoscope in patients with untreated hypertension |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253794/ https://www.ncbi.nlm.nih.gov/pubmed/25478537 http://dx.doi.org/10.5812/cardiovascmed.17598 |
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