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Original Research
Online Published: 14 May 2021
 


Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway

Aradhna Sinha, Lhamo Dolma, Rajni, Basanta Kumar Gandhi, Sofia Batool.


Abstract
Background: Intubating laryngeal mask airway is used for blind endotracheal intubation and is also considered to cause less stress response as compared to intubation following conventional laryngoscope.
Aim: To determine whether Intubating laryngeal mask airway or Laryngoscopy cause minimal stress response following intubation in normotensive as well as in hypertensive patients.
Methods: This was a randomized control trial study. Two control groups were formed. They were age 18 to 65 years belonging to ASA I and II. Group, I patients was intubated with Macintosh laryngoscope and group II were intubated with the help of ILMA. Vitals monitored were Heart rate, Systolic blood pressure, diastolic blood pressure and mean arterial pressure at baseline, before induction, after induction, after intubation at 1, 3 and 5 minutes intervals. Pharyngolaryngeal morbidity was also recorded and followed for 24 hours following procedures. Results were analyzed using Mann-Whitney Test and the Independent t-test. The qualitative variables were analyzed using the Chi-Square test/Fisher’s Exact test.
Result: Demographics, as well as vital parameters, showed no significant differences between the two groups. The decrease in stress response was seen in normotensive patients only in group II but not in hypertensive patients.
Conclusion: Intubating laryngeal mask airway did not help in blunting the stress response when compared with Macintosh laryngoscope in hypertensive patients but a decrease in stress response was seen in normotensive patients at 3 minutes after intubation. Though it can be used as an alternative method for intubation.

Key words: Diastolic blood pressure, Heart rate, Intubating LMA, laryngoscope, Systolic blood pressure


 
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How to Cite this Article
Pubmed Style

Sinha A, Dolma L, Rajni , Gandhi BK, Batool S. Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. Int J Med Rev Case Rep. 2021; 5(5): 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope

Web Style

Sinha A, Dolma L, Rajni , Gandhi BK, Batool S. Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. https://www.mdpub.net/?mno=75216 [Access: October 13, 2024]. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope

AMA (American Medical Association) Style

Sinha A, Dolma L, Rajni , Gandhi BK, Batool S. Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. Int J Med Rev Case Rep. 2021; 5(5): 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


Vancouver/ICMJE Style

Sinha A, Dolma L, Rajni , Gandhi BK, Batool S. Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. Int J Med Rev Case Rep. (2021), [cited October 13, 2024]; 5(5): 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


Harvard Style

Sinha, A., Dolma, . L., Rajni, ., Gandhi, . B. K. & Batool, . S. (2021) Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. Int J Med Rev Case Rep, 5 (5), 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


Turabian Style

Sinha, Aradhna, Lhamo Dolma, Rajni, Basanta Kumar Gandhi, and Sofia Batool. 2021. Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. International Journal of Medical Reviews and Case Reports, 5 (5), 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


Chicago Style

Sinha, Aradhna, Lhamo Dolma, Rajni, Basanta Kumar Gandhi, and Sofia Batool. "Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway." International Journal of Medical Reviews and Case Reports 5 (2021), 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


MLA (The Modern Language Association) Style

Sinha, Aradhna, Lhamo Dolma, Rajni, Basanta Kumar Gandhi, and Sofia Batool. "Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway." International Journal of Medical Reviews and Case Reports 5.5 (2021), 74-81. Print. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


APA (American Psychological Association) Style

Sinha, A., Dolma, . L., Rajni, ., Gandhi, . B. K. & Batool, . S. (2021) Comparison of hemodynamic changes in normotensive and hypertensive patients following tracheal intubation with laryngoscope versus intubating laryngeal mask airway. International Journal of Medical Reviews and Case Reports, 5 (5), 74-81. doi:10.5455/IJMRCR.tracheal-intubation-laryngoscope


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