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Comparison of Hemodynamic Response in Direct and Video Laryngoscopy in Hypertensive Patients
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Introduction: Direct laryngoscopy & endotracheal intubation induces cardiovascular stress response which in turn causes tachycardia & hypertension. This is particularly harmful in hypertensive patients. In this study we compared the hemodynamic response in direct & video laryngoscopy in hypertensive patients. Materials and Methods: In this study 98 controlled hypertensive patients ASA physical status 1 & 2 scheduled for elective surgery under general anesthesia requiring endotracheal intubation. Patients were divided in to 2 groups with 49 patients in each group. Group A: underwent endotracheal intubation with direct laryngoscopy. Group B: video laryngoscopy was used for the patients in this group. Both groups were assessed for Hemodynamic responses during laryngoscopy & intubation. Statistical analysis: This was done using mean, standard deviation, ANOVA for repeated measures followed by Bonferroni test and ‘t‘ test. Result: Video laryngoscopy showed less variations in hemodynamic responses compared to direct laryngoscopy, whereas time taken for video laryngoscopy was longer than that for direct laryngoscopy. Conclusion: Video laryngoscopy is better than direct laryngoscopy to reduce stress responses during endotracheal intubation.
Perspectives
Introduction: Direct laryngoscopy & endotracheal intubation induces cardiovascular stress response which in turn causes tachycardia & hypertension. This is particularly harmful in hypertensive patients. In this study we compared the hemodynamic response in direct & video laryngoscopy in hypertensive patients. Materials and Methods: In this study 98 controlled hypertensive patients ASA physical status 1 & 2 scheduled for elective surgery under general anesthesia requiring endotracheal intubation. Patients were divided in to 2 groups with 49 patients in each group. Group A: underwent endotracheal intubation with direct laryngoscopy. Group B: video laryngoscopy was used for the patients in this group. Both groups were assessed for Hemodynamic responses during laryngoscopy & intubation. Statistical analysis: This was done using mean, standard deviation, ANOVA for repeated measures followed by Bonferroni test and ‘t‘ test. Result: Video laryngoscopy showed less variations in hemodynamic responses compared to direct laryngoscopy, whereas time taken for video laryngoscopy was longer than that for direct laryngoscopy. Conclusion: Video laryngoscopy is better than direct laryngoscopy to reduce stress responses during endotracheal intubation.
Red Flower Publication Publications
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This page is a summary of: Comparison of Hemodynamic Response in Direct and Video Laryngoscopy in Hypertensive Patients, Indian Journal of Anaesthesia and Analgesia, July 2020, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.7420.3.
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