A COMPARATIVE STUDY OF PRESSOR RESPONSE FOLLOWING LARYNGOSCOPY AND TRACHEAL INTUBATION VERSUS INTRODUCTION OF INTUBATING LARYNGEAL MASK AIRWAY AND INTUBATION THROUGH IT

Dr. Dewendra Gajbhiye, Dr. Debasish Ghosh, Dr. Parikshit Singh, Dr. Harjot Singh, Dr Simran Kaur Bhatia

Abstract


Background: Though laryngoscopy and tracheal intubation is the commonest technique of securing
airway, laryngoscopy exceeding 15 seconds is associated with exaggerated pressor response. It can
lead to a cardiovascular catastrophe especially in elderly patients
Methods: A prospective randomised study was conducted in patients belonging to American Society of Anaesthesiologist
(ASA) physical status I and II scheduled for elective surgery under general anaesthesia. Sixty patients were randomly divided
into two groups of 30 each. In group I laryngoscopy and intubation was performed and in group II intubation was performed
through intubating laryngeal mask airway (ILMA), fastrach
Results: Haemodynamic parameters were compared between the two groups using two tailed independent t test. Surge in heart
rate (HR) and mean arterial pressure (MAP) was statistically signicant in group I (p > 0.001)
Conclusion: The technique of ILMA insertion and intubation can be recommended for patients vulnerable to cardiovascular event.


Keywords


ILMA, fastrach, laryngoscopy, pressor response

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