Comparison of haemodynamic responses to tracheal intubation using macintosh and airtraq® laryngoscope in patients with simulated cervical spine injury

Nithin Mathew, Yogesh Kanta Gaude, Tim Thomas Joseph, K. Gurudas Kini

Research output: Contribution to journalArticle

Abstract

Background: Mechanical stimulation of airway structures occurs during laryngoscopy. The magnitude of cardiovascular response is related to the force and duration of laryngoscopy. Video laryngoscopes like Airtraq® will help us to intubate patients with restricted neck movements without much manipulation but are bulkier than conventional Macintosh laryngoscope. We compared Airtraq® and Macintosh laryngoscopes in patients with simulated cervical spine injury with respect to haemodynamic fluctuations. Methodology: A prospective, randomized study involving patients who are undergoing elective surgical procedures under GA. After routine preoperative preparation and monitoring, patients were administered conventional general anaesthesia. Preloaded Airtraq® or Macintosh laryngoscope was used for intubation. The outcome variables of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration for intubation, manoeuvers required to optimize laryngeal view, glottic view, number of attempts taken and complications if any, were noted down as secondary objectives. Results: We observed that there is no significant difference in the average of variation in HR (p=0.078), SBP (p=0.515) and MAP (p=0.057) from the baseline between the two groups. We performed independent sample t test to know whether there is any significant difference for average duration of intubation, glottic view, ease of intubation and complications and we observed that there is significant difference in average duration of intubation (p=0.002) between two groups. Conclusion: Haemodynamic response caused by intubation with Airtraq® and Macintosh laryngoscopes in simulated cervical spine injury were comparable.

Original languageEnglish
Pages (from-to)124-130
Number of pages7
JournalSri Lankan Journal of Anaesthesiology
Volume26
Issue number2
DOIs
Publication statusPublished - 01-01-2018
Externally publishedYes

Fingerprint

Laryngoscopes
Intubation
Spine
Hemodynamics
Blood Pressure
Wounds and Injuries
Laryngoscopy
Tongue
Arterial Pressure
Heart Rate
Elective Surgical Procedures
Physiologic Monitoring
General Anesthesia
Neck
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

@article{a612fb156f5b4819857abce7536e670c,
title = "Comparison of haemodynamic responses to tracheal intubation using macintosh and airtraq{\circledR} laryngoscope in patients with simulated cervical spine injury",
abstract = "Background: Mechanical stimulation of airway structures occurs during laryngoscopy. The magnitude of cardiovascular response is related to the force and duration of laryngoscopy. Video laryngoscopes like Airtraq{\circledR} will help us to intubate patients with restricted neck movements without much manipulation but are bulkier than conventional Macintosh laryngoscope. We compared Airtraq{\circledR} and Macintosh laryngoscopes in patients with simulated cervical spine injury with respect to haemodynamic fluctuations. Methodology: A prospective, randomized study involving patients who are undergoing elective surgical procedures under GA. After routine preoperative preparation and monitoring, patients were administered conventional general anaesthesia. Preloaded Airtraq{\circledR} or Macintosh laryngoscope was used for intubation. The outcome variables of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration for intubation, manoeuvers required to optimize laryngeal view, glottic view, number of attempts taken and complications if any, were noted down as secondary objectives. Results: We observed that there is no significant difference in the average of variation in HR (p=0.078), SBP (p=0.515) and MAP (p=0.057) from the baseline between the two groups. We performed independent sample t test to know whether there is any significant difference for average duration of intubation, glottic view, ease of intubation and complications and we observed that there is significant difference in average duration of intubation (p=0.002) between two groups. Conclusion: Haemodynamic response caused by intubation with Airtraq{\circledR} and Macintosh laryngoscopes in simulated cervical spine injury were comparable.",
author = "Nithin Mathew and Gaude, {Yogesh Kanta} and Joseph, {Tim Thomas} and Kini, {K. Gurudas}",
year = "2018",
month = "1",
day = "1",
doi = "10.4038/slja.v26i2.8331",
language = "English",
volume = "26",
pages = "124--130",
journal = "Sri Lankan Journal of Anaesthesiology",
issn = "1391-8834",
publisher = "College Of Anaesthesiologists Of Sri Lanka",
number = "2",

}

Comparison of haemodynamic responses to tracheal intubation using macintosh and airtraq® laryngoscope in patients with simulated cervical spine injury. / Mathew, Nithin; Gaude, Yogesh Kanta; Joseph, Tim Thomas; Kini, K. Gurudas.

In: Sri Lankan Journal of Anaesthesiology, Vol. 26, No. 2, 01.01.2018, p. 124-130.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison of haemodynamic responses to tracheal intubation using macintosh and airtraq® laryngoscope in patients with simulated cervical spine injury

AU - Mathew, Nithin

AU - Gaude, Yogesh Kanta

AU - Joseph, Tim Thomas

AU - Kini, K. Gurudas

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Mechanical stimulation of airway structures occurs during laryngoscopy. The magnitude of cardiovascular response is related to the force and duration of laryngoscopy. Video laryngoscopes like Airtraq® will help us to intubate patients with restricted neck movements without much manipulation but are bulkier than conventional Macintosh laryngoscope. We compared Airtraq® and Macintosh laryngoscopes in patients with simulated cervical spine injury with respect to haemodynamic fluctuations. Methodology: A prospective, randomized study involving patients who are undergoing elective surgical procedures under GA. After routine preoperative preparation and monitoring, patients were administered conventional general anaesthesia. Preloaded Airtraq® or Macintosh laryngoscope was used for intubation. The outcome variables of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration for intubation, manoeuvers required to optimize laryngeal view, glottic view, number of attempts taken and complications if any, were noted down as secondary objectives. Results: We observed that there is no significant difference in the average of variation in HR (p=0.078), SBP (p=0.515) and MAP (p=0.057) from the baseline between the two groups. We performed independent sample t test to know whether there is any significant difference for average duration of intubation, glottic view, ease of intubation and complications and we observed that there is significant difference in average duration of intubation (p=0.002) between two groups. Conclusion: Haemodynamic response caused by intubation with Airtraq® and Macintosh laryngoscopes in simulated cervical spine injury were comparable.

AB - Background: Mechanical stimulation of airway structures occurs during laryngoscopy. The magnitude of cardiovascular response is related to the force and duration of laryngoscopy. Video laryngoscopes like Airtraq® will help us to intubate patients with restricted neck movements without much manipulation but are bulkier than conventional Macintosh laryngoscope. We compared Airtraq® and Macintosh laryngoscopes in patients with simulated cervical spine injury with respect to haemodynamic fluctuations. Methodology: A prospective, randomized study involving patients who are undergoing elective surgical procedures under GA. After routine preoperative preparation and monitoring, patients were administered conventional general anaesthesia. Preloaded Airtraq® or Macintosh laryngoscope was used for intubation. The outcome variables of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at regular intervals. Duration for intubation, manoeuvers required to optimize laryngeal view, glottic view, number of attempts taken and complications if any, were noted down as secondary objectives. Results: We observed that there is no significant difference in the average of variation in HR (p=0.078), SBP (p=0.515) and MAP (p=0.057) from the baseline between the two groups. We performed independent sample t test to know whether there is any significant difference for average duration of intubation, glottic view, ease of intubation and complications and we observed that there is significant difference in average duration of intubation (p=0.002) between two groups. Conclusion: Haemodynamic response caused by intubation with Airtraq® and Macintosh laryngoscopes in simulated cervical spine injury were comparable.

UR - http://www.scopus.com/inward/record.url?scp=85050268272&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050268272&partnerID=8YFLogxK

U2 - 10.4038/slja.v26i2.8331

DO - 10.4038/slja.v26i2.8331

M3 - Article

AN - SCOPUS:85050268272

VL - 26

SP - 124

EP - 130

JO - Sri Lankan Journal of Anaesthesiology

JF - Sri Lankan Journal of Anaesthesiology

SN - 1391-8834

IS - 2

ER -