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Somika Agarwal

KPIMS, India

Title: 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.