Anesthesiology Devices Associated With Adverse Incidents, Intraocular Pressure
Conditions
Keywords
tracheal intubation, videolaryngoscopy, hemodynamics, intraocular pressure
Brief summary
In this study, participants aimed to compare the effects of direct laryngoscopic endotracheal intubation and videolaryngoscopic intubation with C-MAC videolaryngoscope and McGrath videolaryngoscope on intraocular pressure and hemodynamics.
Detailed description
The maintenance of airway opened is one of the main responsibility of the anesthetist. Intubation procedure during anesthesia application benefits such as airway opening, airway and breathing control, aspiration hazard, respiratory effort and dead space reduction, surgical comfort and airway control during resuscitation. Laryngoscopy and tracheal intubation increases in heart rate, blood pressure and the intraocular pressure. The sympathetic-adrenal activity caused by the stimulation of the laryngeal and tracheal tissues is responsible for these negative effects. Endotracheal intubation with videolaryngoscopy is an alternative method used in airway management. Laryngoscopy and tracheal intubation under general anesthesia and laryngeal mask and airway control techniques cause different hemodynamic and catecholamine levels.
Interventions
DEVICEDirect laryngoscope
Endotracheal intubation was applied by anesthesiologist wtih direct laryngoscope. SAP (systolic arterial pressure), DAP (diastolic arterial artery pressure), MAP (mean arterial pressure) were measured before and 5 minutes after intubation, , Heart rate (HR), SPO2 (oxygen saturation by pulse oximetry), PI (perfusion index), and intraocular pressure values measured by the eye clinician using the device.
DEVICEC-MAC videolaryngoscope
Endotracheal intubation was applied by anesthesiologist wtih direct laryngoscope. SAP (systolic arterial pressure), DAP (diastolic arterial artery pressure), MAP (mean arterial pressure) were measured before and 5 minutes after intubation, , Heart rate (HR), SPO2 (oxygen saturation by pulse oximetry), PI (perfusion index), and intraocular pressure values measured by the eye clinician using the device.
Endotracheal intubation was applied by anesthesiologist wtih direct laryngoscope. SAP (systolic arterial pressure), DAP (diastolic arterial artery pressure), MAP (mean arterial pressure) were measured before and 5 minutes after intubation, , Heart rate (HR), SPO2 (oxygen saturation by pulse oximetry), PI (perfusion index), and intraocular pressure values measured by the eye clinician using the device.
Sponsors
Inonu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Prospective, Randomized, double blind Clinical Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologist Score 1-2 * Mallampati 1 ve 2
Exclusion criteria
* Glaucoma, * Diabetes mellitus * Cardiovascular and pulmonary disease * American Society of Anesthesiologist Score III-IV * Bdoy mass index greater than 35 * Difficult intubation history * Obstetric surgery * Propofol, fentanyl, rocuronium contraindication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraocular pressure | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mean arterial pressure | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
| systolic arterial pressure | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
| diastolic arterial pressure | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
| heart rate | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
| peripheral oxygen saturation | From beginning of Anesthesia to 10th minute of surgery | The relevant values will be measured in the determined time. |
Countries
Turkey (Türkiye)
Outcome results
None listed