Endotracheal intubation using video laryngoscopy causes less cardiovascular response and less airway morbidity compared to classic direct laryngoscopy during surgery.direct laryngoscopy during surgery

Authors

  • Niaz Ahmed Sr. Consultant & Coordinator-Cardiothoracic Anaesthesia and critical care, Evercare Hospital, Dhaka, Bangladesh
  • AM Kamrul Hasan Sr. Specialist - Cardiothoracic Anaesthesia and critical care Evercare Hospital, Dhaka, Bangladesh
  • Mohammed Salah Uddin Specialist; General ICU United Hospital Limited, Dhaka, Bangladesh
  • Md Junayed Imam Bhuiyan Specialist; Cardiothoracic Anaesthesia and critical care Evercare Hospital, Dhaka, Bangladesh
  • Md Zishan Uddin Specialist; Cardiothoracic Anaesthesia and critical care Evercare Hospital, Dhaka, Bangladesh
  • Kazi Muhammed Mahmudul Hasan Specialist; Cardiothoracic Anaesthesia and critical care Evercare Hospital, Dhaka, Bangladesh
  • Md Abdulah Al Mahammud Kabir Asst Prof. Monno Medical College, Manikgonj, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v10i1.59205

Keywords:

Cardiovascular responses, video laryngoscopy, classic laryngoscopy

Abstract

Introduction: Endotracheal intubation using video laryngoscopy causes less cardiovascular response and less airway morbidity compared to classic direct laryngoscopy, in cardiac surgery. A comparison of the cardiovascular responses to endotracheal intubation using both indirect video laryngoscopy and direct laryngoscopy within the same patient has not yet been described.

Materials and methods: This comparative randomized controlled clinical trial on 110 patients undergoing elective CABG. Data were expressed as mean ± SD and statistically analyzed using analysis of variance (ANOVA) and paired “t”-test over time and software SPSS-19.00.

Results: Total intubation time was significantly higher in Video laryngoscopy group than direct laryngoscopy group (Table 2). The mean effective airway time were 6.15±4.92 in Video laryngoscopy group and 11.32(±9.11) in direct laryngoscopy group which was statistically significant (Table 3). The relative increase of the Rate Pressure Product (RPP) at intubation was significantly smaller (i.e. 27%, P < 0.001) using video laryngoscopy compared to the classic direct laryngoscopy. Cardiovascular responses were blunted by an additional 10. 2% (P = 0.029), when the patient was on beta blockade (Table 4). Conclusion: Study observed that less hemodynamic responses during endotracheal intubation using indirect video laryngoscopy compared to classic direct laryngoscopy. Even if the patient is on beta-blocker therapy, diminished cardiovascular responses at intubation were recorded after indirect laryngoscopy compared to direct laryngoscopy.

Bangladesh Crit Care J March 2022; 10 (1): 52-56

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Published

2022-04-25

How to Cite

Ahmed, N. ., Hasan, A. K. ., Uddin, M. S., Bhuiyan, M. J. I. ., Uddin, M. Z. ., Mahmudul Hasan, K. M. ., & Mahammud Kabir, M. A. A. . (2022). Endotracheal intubation using video laryngoscopy causes less cardiovascular response and less airway morbidity compared to classic direct laryngoscopy during surgery.direct laryngoscopy during surgery. Bangladesh Critical Care Journal, 10(1), 52–56. https://doi.org/10.3329/bccj.v10i1.59205

Issue

Vol. 10 No. 1 (2022)

Section

Original Articles

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