A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope

Sympathetic response is associated with laryngoscopy and intubation. Such response can be hazardous to patients with poor physiological reserve. Many research and development were done to look for the best way of obtunding this response. New laryngoscopes like Airtraq® laryngoscope were designed...

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Main Author:	Chen, Chua Chen
Format:	Thesis
Language:	English
Published:	2013
Subjects:	R Medicine (General) RC705-779 Diseases of the respiratory system
Online Access:	http://eprints.usm.my/60769/1/DR%20CHUA%20CHEN%20CHEN%20-%20e.pdf
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id	my-usm-ep.60769
record_format	uketd_dc
spelling	my-usm-ep.607692024-08-19T08:12:22Z A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope 2013 Chen, Chua Chen R Medicine (General) RA440-440.87 Study and teaching. Research RC705-779 Diseases of the respiratory system Sympathetic response is associated with laryngoscopy and intubation. Such response can be hazardous to patients with poor physiological reserve. Many research and development were done to look for the best way of obtunding this response. New laryngoscopes like Airtraq® laryngoscope were designed to improve the process of intubation and thus reduces sympathetic response secondary to laryngoscopy and intubation. To compare the sympathetic response and immediate complication of endotracheal intubation using Airtraq® and Macintosh laryngoscope, which are then analyzed to determine if the newer Airtraq® laryngoscope is an inferior, equal or superior alternative to the mainstay Macintosh laryngoscope. This is an experimental, prospective, stratified, single blind randomized study. 142 patients who had fulfilled the inclusion and exclusion criteria were allocated into Airtraq® and Macintosh group according to age group, 18-29, 30-39, 40-49 and 50-59. sBP, dBP, MAP and HR of patients at baseline, during intubation, 1, 2, 3, 4, and 5 minutes post-intubation were collected and compared. Complications associated with laryngoscopy and intubation were observed in this study too. Statistical analysis using mean (SD) and ANOVA test were performed on the data obtained. Data was compared in general, age group below 40 years old and age group above 40 years old. In general, there was significant difference within group for both Airtraq® and Macintosh groups for sBP, dBP, MAP (p < 0.001). However, there was no significant different between and within-between group for sBP, dBP, MAP and HR. Pressure response was significant different within and between groups for age group more than 40 years old (p 0.05) and the changes were more than 20.0% from the baseline in Airtraq® group. No significant different in HR between 2 groups and the changes were less than 20.0% in all age groups. Airtraq® laryngoscope causes less sympathetic stimulation during laryngoscopy and intubation. It is suitable to use in elder patients and those which exaggerated sympathetic response during laryngoscopy can be hazardous. 2013 Thesis http://eprints.usm.my/60769/ http://eprints.usm.my/60769/1/DR%20CHUA%20CHEN%20CHEN%20-%20e.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine (General) R Medicine (General) RC705-779 Diseases of the respiratory system
spellingShingle	R Medicine (General) R Medicine (General) RC705-779 Diseases of the respiratory system Chen, Chua Chen A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
description	Sympathetic response is associated with laryngoscopy and intubation. Such response can be hazardous to patients with poor physiological reserve. Many research and development were done to look for the best way of obtunding this response. New laryngoscopes like Airtraq® laryngoscope were designed to improve the process of intubation and thus reduces sympathetic response secondary to laryngoscopy and intubation. To compare the sympathetic response and immediate complication of endotracheal intubation using Airtraq® and Macintosh laryngoscope, which are then analyzed to determine if the newer Airtraq® laryngoscope is an inferior, equal or superior alternative to the mainstay Macintosh laryngoscope. This is an experimental, prospective, stratified, single blind randomized study. 142 patients who had fulfilled the inclusion and exclusion criteria were allocated into Airtraq® and Macintosh group according to age group, 18-29, 30-39, 40-49 and 50-59. sBP, dBP, MAP and HR of patients at baseline, during intubation, 1, 2, 3, 4, and 5 minutes post-intubation were collected and compared. Complications associated with laryngoscopy and intubation were observed in this study too. Statistical analysis using mean (SD) and ANOVA test were performed on the data obtained. Data was compared in general, age group below 40 years old and age group above 40 years old. In general, there was significant difference within group for both Airtraq® and Macintosh groups for sBP, dBP, MAP (p < 0.001). However, there was no significant different between and within-between group for sBP, dBP, MAP and HR. Pressure response was significant different within and between groups for age group more than 40 years old (p 0.05) and the changes were more than 20.0% from the baseline in Airtraq® group. No significant different in HR between 2 groups and the changes were less than 20.0% in all age groups. Airtraq® laryngoscope causes less sympathetic stimulation during laryngoscopy and intubation. It is suitable to use in elder patients and those which exaggerated sympathetic response during laryngoscopy can be hazardous.
format	Thesis
qualification_level	Master's degree
author	Chen, Chua Chen
author_facet	Chen, Chua Chen
author_sort	Chen, Chua Chen
title	A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
title_short	A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
title_full	A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
title_fullStr	A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
title_full_unstemmed	A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
title_sort	randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2013
url	http://eprints.usm.my/60769/1/DR%20CHUA%20CHEN%20CHEN%20-%20e.pdf
_version_	1811772846550024192

A randomized trial on haemodynamic changes during intubation using airtraqr and macintosh laryngoscope

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