Blood Pressure
Conditions
Keywords
Glidescope, Cardiovascular surgery, Macintosh Laryngoscope, Hemodynamic response, Anesthesia
Brief summary
Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients.
Detailed description
Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients. After induction with our institutional protocol for cardiac bypass surgery, hemodynamic data including heart rate, systolic and diastolic arterial pressure data will be recorded. Time for intubation, age, sex, ASA status data will also be recorded.
Interventions
DEVICEGlidescope
This standard GlideScope (GS) technique involves a midline laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved.
DEVICEMacintosh Laryngoscope
This technique involves a laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved.
Sponsors
Gata Haydarpasa Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists (ASA) physical Status 2-3 * Patients undergoing elective cardiac bypass surgery
Exclusion criteria
* Difficult intubation history * Need for Rapid sequence intubation or alternative intubation method * Emergency procedures * Patients that have predictive factors for difficult intubation * Patients with permanent pacemaker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in systolic blood pressure | 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes | invasive blood pressure (mmHg) monitoring |
| Change in heart rate | 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes | Heart rate (beats per minute) will be measured before induction, and throughout and after laryngoscopy |
| Change in diastolic blood pressure | 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes | invasive blood pressure (mmHg) monitoring |
| Change in mean arterial pressure | 5 minutes;At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes | invasive blood pressure (mmHg) monitoring |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedure time | 10 minutes | Total laryngoscopy and intubation time (minutes) |
| Cormack lehane laryngoscopic view will be recorded | 10 minutes | laryngoscopic view data will be recorded according to Cormack Lehane scale (A Scale with 1-4) |
Countries
Turkey (Türkiye)
Outcome results
None listed