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

Ajith Kumar Pillai, Shiyad Muhamed, Manu Giri, Kailasnath Shenoy, Shaji Mathew, Arunkumar Handittu Dugappa, Ramzi Aboo Abdul Rahiman

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)145-150
Number of pages6
JournalSri Lankan Journal of Anaesthesiology
Volume27
Issue number2
DOIs
Publication statusPublished - 01-01-2019

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Laryngoscopes
Bronchoscopes
Intubation
Spine
Hemodynamics
Blood Pressure
Wounds and Injuries
Arterial Pressure
Heart Rate
Muscle Relaxation
Intratracheal Intubation
Bronchoscopy
Nervous System Diseases
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Pillai, Ajith Kumar ; Muhamed, Shiyad ; Giri, Manu ; Shenoy, Kailasnath ; Mathew, Shaji ; Dugappa, Arunkumar Handittu ; Rahiman, Ramzi Aboo Abdul. / Comparison of haemodynamic responses to orotracheal intubation in anaesthetised and paralysed patients with simulated cervical spine injury : Airtraq® video laryngoscope versus fibreoptic bronchoscope. In: Sri Lankan Journal of Anaesthesiology. 2019 ; Vol. 27, No. 2. pp. 145-150.
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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{\circledR} 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.",
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Comparison of haemodynamic responses to orotracheal intubation in anaesthetised and paralysed patients with simulated cervical spine injury : Airtraq® video laryngoscope versus fibreoptic bronchoscope. / Pillai, Ajith Kumar; Muhamed, Shiyad; Giri, Manu; Shenoy, Kailasnath; Mathew, Shaji; Dugappa, Arunkumar Handittu; Rahiman, Ramzi Aboo Abdul.

In: Sri Lankan Journal of Anaesthesiology, Vol. 27, No. 2, 01.01.2019, p. 145-150.

Research output: Contribution to journalArticle

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AU - Pillai, Ajith Kumar

AU - Muhamed, Shiyad

AU - Giri, Manu

AU - Shenoy, Kailasnath

AU - Mathew, Shaji

AU - Dugappa, Arunkumar Handittu

AU - Rahiman, Ramzi Aboo Abdul

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N2 - 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.

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