Intubation, Anesthesia, Hypertension
Conditions
Keywords
laryngoscopy, videolaryngoscopy, hypertension
Brief summary
During endotracheal intubation, it is known that la laryngoscopy has significant effects, such as tachycardia and blood pressure increase, which may be harmful, especially in those with cardiovascular disease. Different studies comparing laryngeal stimulation and there resulting hemodynamic response made with various intubation devices are available in the literature. The investigators planned to work with the hypothesis that endotracheal intubation with videolaryngoscopy would have less hemodynamic response traditional (Macintosh) laryngoscopy and the use of videolaryngoscopy would result in wider vision with less laryngeal stimulation.
Detailed description
In this study, in a study on endotracheal intubation under general anesthesia, a routine preparation of endotracheal intubation using video laryngoscopy or Macintosh laryngoscopy in adult hypertensive and normotensive patients between 18-75 years old, form will be written and recorded. Patient age, weight, height, sex, operation, co-morbid conditions and vital findings, measurements used in airway evaluation, initial trial success, laryngoscope using number of procedures, intubation tube number will be recorded. Statistical analysis was performed using statistical program to compare the hemodynamic response of hypertensive and normotensive patients using videolaryngoscope or Macintosh laryngoscope
Interventions
Endotracheal intubation time using the Macintosh laryngoscope
Endotracheal intubation time using the C-Mac Videolaryngoscope
Sponsors
Study design
Intervention model description
Prospective
Eligibility
Inclusion criteria
* Age: 18-75 years. * Underwent surgery under general anesthesia.
Exclusion criteria
* ASA (American Society of Anesthesiologists) IV, V patients * Preoperative systolic blood pressure 180 mmHg, diastolic blood pressure a pressure above 110 mmHg. * Ejection fraction is less than 40%. * Difficult intubation history * Mallampati 3,4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic response | 0-10 minute | Change from baseline noninvasive blood pressure and heart rate |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intubation time | 0-120 seconds | The time elapsed between the passage of the laryngoscopy through the teeth to teeth |
| Glottic view grade | During intubation | Using the Cormack Lehane score |
Countries
Turkey (Türkiye)