Somika Agarwal
KPIMS, IndiaTitle: To evaluate the stress response to tracheal intubation with macintosh laryngoscope and intubating laryngeal mask airway
Abstract
A prospective, simple randomised,
comparative study was conducted to evaluate hemodynamic changes and side
effects during endotracheal intubation with Macintosh laryngoscope and
intubating laryngeal mask airway on 100 patients of 18-60 years of age, divided
into two groups. In our study number of patients who had successful intubation
in first attempt were 40 (80%) and 42 (84%) in group A and group B respectively
with non-significant p value of 0.603. Total intubation time (in seconds) of
group A was 24.38 + 3.26 seconds and of group B was 42.94 + 1.24 seconds. The
difference of two means was statistically significant with more insertion time
taken in group B subjects. At 2 minutes, 4 minutes and 6 minutes respectively,
higher rise of mean heart rate was noted in group A (p=0.007,0.003,0.008). At
2,4,6 and 8 minutes difference in mean SBP and mean DBP of two groups was
statistically significant with p value of <0.05 with significant increase of
mean SBP and mean DBP in patients of
group A. It was concluded that intubating laryngeal mask airway can be utilized
to maintain airway and oxygenation with equal success rates compared to
Macintosh laryngoscope thus serving as a secured alternative to Macintosh
laryngoscope.
Biography
Somika Agarwal has completed her Post Graduation (MD) in the field of Anesthesia and Critical Care. She is a renowned critical care specialist in Uttar Pradesh State of India. More than 3000 cases have been managed yet under her expertise. She has written over 25 articles which are either published or presented at various national and international conferences.