The Effect of Video and Traditional Laryngoscopy on Hemodynamic Response in Hypertensive and Normotensive Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Hemodynamic response
研究概览
简要总结
During endotracheal intubation, it is known that la laryngoscopy has significant effects, such as tachycardia and blood pressure increase, which may be harmful, especially in those with cardiovascular disease. Different studies comparing laryngeal stimulation and there resulting hemodynamic response made with various intubation devices are available in the literature. The investigators planned to work with the hypothesis that endotracheal intubation with videolaryngoscopy would have less hemodynamic response traditional (Macintosh) laryngoscopy and the use of videolaryngoscopy would result in wider vision with less laryngeal stimulation.
详细描述
In this study, in a study on endotracheal intubation under general anesthesia, a routine preparation of endotracheal intubation using video laryngoscopy or Macintosh laryngoscopy in adult hypertensive and normotensive patients between 18-75 years old, form will be written and recorded.
Patient age, weight, height, sex, operation, co-morbid conditions and vital findings, measurements used in airway evaluation, initial trial success, laryngoscope using number of procedures, intubation tube number will be recorded.
Statistical analysis was performed using statistical program to compare the hemodynamic response of hypertensive and normotensive patients using videolaryngoscope or Macintosh laryngoscope
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age: 18-75 years.
- •Underwent surgery under general anesthesia.
排除标准
- •ASA (American Society of Anesthesiologists) IV, V patients
- •Preoperative systolic blood pressure 180 mmHg, diastolic blood pressure a pressure above 110 mmHg.
- •Ejection fraction is less than 40%.
- •Difficult intubation history
- •Mallampati 3,4
研究组 & 干预措施
Hypertensive T group
Hypertensive T group: Patients participating in the study were randomly assigned hypertensive (preoperative systolic blood pressure <180 mmHg and diastolic blood pressure <100 mmHg) Macintosh laryngoscopy using intubated
干预措施: Macintosh laryngoscopy (Device)
Hypertensive VL group
Hypertensive VL group: Patients participating in the study were randomly assigned hypertensive (preoperative systolic blood pressure <180 mmHg and diastolic blood pressure <100 mmHg) C-Mac Videolaryngoscope using intubated
干预措施: C-Mac Videolaryngoscope (Device)
Non-hypertensive T group
Non-hypertensive T group: (Preoperative systolic blood pressure < 140 mmHg and diastolic blood pressure < 100 mmHg) Macintosh laryngoscopy using intubated
干预措施: Macintosh laryngoscopy (Device)
Non-hypertensive VL group
Non-hypertensive VL group: Preoperative systolic blood pressure < 140 mmHg and diastolic blood pressure < 100 mmHg C-Mac Videolaryngoscope using intubated
干预措施: C-Mac Videolaryngoscope (Device)
结局指标
主要结局
Hemodynamic response
时间窗: 0-10 minute
Change from baseline noninvasive blood pressure and heart rate
次要结局
- intubation time(0-120 seconds)
- Glottic view grade(During intubation)
研究者
SİNAN YILMAZ
Principal Investigator
Aydin Adnan Menderes University