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Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design

BACKGROUND: The airway of an anesthetized child is usually maintained with an endotracheal tube or laryngeal mask airway. However, both are related with some level of pressor response which may be risky in several groups of patient. METHODS: An institutional-based prospective observational study des...

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Autores principales: Obsa, Mohammed Suleiman, Sholla, Azeb Lencha, Baraki, Betelhem Girma, Welde, Getahun Dendir, Gelgelu, Temesgen Bati, Kuruche, Melese Meleku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285405/
https://www.ncbi.nlm.nih.gov/pubmed/32565787
http://dx.doi.org/10.1155/2020/7021641
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author Obsa, Mohammed Suleiman
Sholla, Azeb Lencha
Baraki, Betelhem Girma
Welde, Getahun Dendir
Gelgelu, Temesgen Bati
Kuruche, Melese Meleku
author_facet Obsa, Mohammed Suleiman
Sholla, Azeb Lencha
Baraki, Betelhem Girma
Welde, Getahun Dendir
Gelgelu, Temesgen Bati
Kuruche, Melese Meleku
author_sort Obsa, Mohammed Suleiman
collection PubMed
description BACKGROUND: The airway of an anesthetized child is usually maintained with an endotracheal tube or laryngeal mask airway. However, both are related with some level of pressor response which may be risky in several groups of patient. METHODS: An institutional-based prospective observational study design was employed. A systematic random sampling technique was used to select study participants. Data were entered into Epi info version 7 and transported to SPSS version 20 for analysis. Normality of the data was checked using Shapiro–Wilk tests. An independent t test was used to determine the mean differences between the two groups while the paired sample t test was used to determine the mean differences within the groups. A p value of less than 0.05 was used as a cut-off point for the presence of association. RESULTS: The changes in systolic and diastolic blood pressure were returned to baseline values at five and three minutes in both groups, respectively. However, the changes in the heart rate and mean arterial pressure returned to baseline values in five minutes in the ETT group and three minutes in the LMA group. At baseline, the difference in systolic blood pressure between the two groups was not statistically significant (p=0.328). CONCLUSIONS: A significant hemodynamic pressor response was observed after the insertion of both LMA and ETT groups. However, the LMA group has less hemodynamic change as compared to the ETT group. Therefore, the practice of LMA insertion was strongly recommended.
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spelling pubmed-72854052020-06-18 Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design Obsa, Mohammed Suleiman Sholla, Azeb Lencha Baraki, Betelhem Girma Welde, Getahun Dendir Gelgelu, Temesgen Bati Kuruche, Melese Meleku Anesthesiol Res Pract Research Article BACKGROUND: The airway of an anesthetized child is usually maintained with an endotracheal tube or laryngeal mask airway. However, both are related with some level of pressor response which may be risky in several groups of patient. METHODS: An institutional-based prospective observational study design was employed. A systematic random sampling technique was used to select study participants. Data were entered into Epi info version 7 and transported to SPSS version 20 for analysis. Normality of the data was checked using Shapiro–Wilk tests. An independent t test was used to determine the mean differences between the two groups while the paired sample t test was used to determine the mean differences within the groups. A p value of less than 0.05 was used as a cut-off point for the presence of association. RESULTS: The changes in systolic and diastolic blood pressure were returned to baseline values at five and three minutes in both groups, respectively. However, the changes in the heart rate and mean arterial pressure returned to baseline values in five minutes in the ETT group and three minutes in the LMA group. At baseline, the difference in systolic blood pressure between the two groups was not statistically significant (p=0.328). CONCLUSIONS: A significant hemodynamic pressor response was observed after the insertion of both LMA and ETT groups. However, the LMA group has less hemodynamic change as compared to the ETT group. Therefore, the practice of LMA insertion was strongly recommended. Hindawi 2020-06-01 /pmc/articles/PMC7285405/ /pubmed/32565787 http://dx.doi.org/10.1155/2020/7021641 Text en Copyright © 2020 Mohammed Suleiman Obsa et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under 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
Obsa, Mohammed Suleiman
Sholla, Azeb Lencha
Baraki, Betelhem Girma
Welde, Getahun Dendir
Gelgelu, Temesgen Bati
Kuruche, Melese Meleku
Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title_full Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title_fullStr Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title_full_unstemmed Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title_short Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design
title_sort effect of laryngeal mask air way insertion versus endotracheal intubation over hemodynamic responses in pediatrics patient who underwent ophthalmic surgery at menelik ii hospital, addis ababa: a prospective observational study design
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285405/
https://www.ncbi.nlm.nih.gov/pubmed/32565787
http://dx.doi.org/10.1155/2020/7021641
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