Does Glidescope Video Laryngoscope is Related to Less Hemodynamic Response?
- Conditions
- Blood Pressure
- Interventions
- Device: GlidescopeDevice: Macintosh Laryngoscope
- Registration Number
- NCT02708420
- Lead Sponsor
- Gata Haydarpasa Research Hospital
- Brief Summary
Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients.
- Detailed Description
Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients. After induction with our institutional protocol for cardiac bypass surgery, hemodynamic data including heart rate, systolic and diastolic arterial pressure data will be recorded. Time for intubation, age, sex, ASA status data will also be recorded.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
- American Society of Anesthesiologists (ASA) physical Status 2-3
- Patients undergoing elective cardiac bypass surgery
- Difficult intubation history
- Need for Rapid sequence intubation or alternative intubation method
- Emergency procedures
- Patients that have predictive factors for difficult intubation
- Patients with permanent pacemaker
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Glidescope intubation Glidescope This standard GlideScope (GS) technique involves a midline laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved. Macintosh Laryngoscope Macintosh Laryngoscope This standard technique involves laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved.
- Primary Outcome Measures
Name Time Method Change in diastolic blood pressure 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes invasive blood pressure (mmHg) monitoring
Change in mean arterial pressure 5 minutes;At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes invasive blood pressure (mmHg) monitoring
Change in heart rate 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes Heart rate (beats per minute) will be measured before induction, and throughout and after laryngoscopy
Change in systolic blood pressure 5 minutes; At start of laryngoscopy and after 30th seconds, 60th seconds, 90th seconds, 120th seconds, 3rd minutes, 4th minutes, 5th minutes invasive blood pressure (mmHg) monitoring
- Secondary Outcome Measures
Name Time Method Procedure time 10 minutes Total laryngoscopy and intubation time (minutes)
Cormack lehane laryngoscopic view will be recorded 10 minutes laryngoscopic view data will be recorded according to Cormack Lehane scale (A Scale with 1-4)
Trial Locations
- Locations (1)
GATA Haydarpasa Training Hospital
🇹🇷İ̇stanbul, Asia, Turkey