Document Detail


Haemodynamic response to endotracheal intubation in coronary artery disease: Direct versus video laryngoscopy.
MedLine Citation:
PMID:  21808398     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Endotracheal intubation involving conventional laryngoscopy elicits a haemodynamic response associated with increased heart and blood pressure. The study was aimed to see if video laryngoscopy and endotracheal intubation has any advantages over conventional laryngoscopy and endotracheal intubation in patients with coronary artery disease. Thirty patients suffering from coronary artery disease scheduled for elective coronary artery bypass grafting (CABG) were studied. The patients were randomly allocated to undergo either conventional laryngoscopy (group A) or video laryngoscopy (group B). The time taken to perform endotracheal intubation and haemodynamic changes associated with intubation were noted in both the groups at different time points. The duration of laryngoscopy and intubation was significantly longer in group B (video laryngoscopy) when compared to group A patients. However, haemodynamic changes were no different between the groups. There were no events of myocardial ischaemia as monitored by surface electrocardiography during the study period in either of the groups. In conclusion, video laryngoscopy did not provide any benefit in terms of haemodynamic response to laryngoscopy and intubation in patients undergoing primary CABG with a Mallampatti grade of <2.
Authors:
Muralidhar Kanchi; Hema C Nair; Sanjay Banakal; Keshava Murthy; C Murugesan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  55     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-08-02     Completed Date:  2011-11-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  260-5     Citation Subset:  -    
Affiliation:
Department of Anaesthesia and Intensive Care, Narayana Hrudayalaya Hospitals, Bangalore, karnataka, India.
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