Hemodynamic response to tracheal intubation and postoperative complications using Lightwand or Macintosh laryngoscopes in normotensive adults: A Comparative Prospective Study

DR. SWEETY BHOLA; DR. AJEET JYOTIPURKAR; DR. SANDEEP RATHORE

Volume : IX, Issue : IV, April - 2019

Hemodynamic response to tracheal intubation and postoperative complications using Lightwand or Macintosh laryngoscopes in normotensive adults: A Comparative Prospective Study

Dr. Sweety Bhola, Dr. Ajeet Jyotipurkar, Dr. Sandeep Rathore

Abstract :

Background: Laryngoscopy and tracheal intubation are often associated with hemodynamic changes like hypertension, tachycardia and an increase in plasma catecholamine concentrations. The present study was done to compare the hemodynamic response during tracheal intubation, guided by either Lightwand or Direct laryngoscopy and to observe postoperative complications. MATERIAL AND METHODS: The present study is a randomized prospective comparative study. 80 adult consented patients of ASA I or II aged 22–55 years of either sex scheduled for elective surgeries under general anesthesia divided into two groups (n=40);Group 1 & Group 2. Patients were intubated using either Lightwand or Macintosh laryngoscopes. The number of attempts, intubation time and hemodynamic parameters of heart rate and blood pressure were recorded, at baseline, after induction, just after tracheal intubation and then at1,3,5,10,15 min after tracheal intubation. Variation in blood pressure and heart rate,postoperative sore throat,dysphagia, and hoarseness were evaluated. RESULT& CONCLUSION: There was no significant difference in terms of changes in blood pressure and heart rate during laryngoscopy and after tracheal intubation between 2 groups. Post intubation hoarseness,sore throat and dysphasia were also comparable between the groups.