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

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

Endotracheal intubation using video laryngoscopy causes less cardiovascular response and less airway morbidity compared to classic direct laryngoscopy during surgery.direct laryngoscopy during surgery. (2022). 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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How to Cite

Endotracheal intubation using video laryngoscopy causes less cardiovascular response and less airway morbidity compared to classic direct laryngoscopy during surgery.direct laryngoscopy during surgery. (2022). Bangladesh Critical Care Journal, 10(1), 52-56. https://doi.org/10.3329/bccj.v10i1.59205