Hemodynamic Response to Various Laryngoscopes During Tracheal Intubation in CABG Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Konya Meram State Hospital
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Hemodynamic response
Study Overview
Brief Summary
In this prospective, randomized, controlled trial, the purpose is to compare Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope in terms of hemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).
Detailed Description
During endotracheal intubation, laryngoscopy can significantly affect hemodynamic responses, including tachycardia and elevated blood pressure, which may be particularly detrimental to individuals with cardiovascular conditions. Various studies have explored the hemodynamic reactions associated with laryngeal stimulation through different intubation devices. Researchers hypothesize that endotracheal intubation using video laryngoscopy will elicit a reduced hemodynamic response compared to traditional (Macintosh) laryngoscopy. In this prospective and randomized clinical study, the purpose is to compare the Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope concerning haemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Age range between 18 and 75 years.
- •Scheduled for elective coronary artery bypass surgery.
- •Classified under American Society of Anesthesiologists (ASA) physical status II-III.
- •Patients with no history of difficult intubation or associated risk factors.
Exclusion Criteria
- •Emergency case
- •Predicted difficult airways
- •Body mass index > 35 kilograms per meter squared
- •Baseline hemodynamic instability
Arms & Interventions
Group Storz VL
Patients will undergo intubation with the Storz Videolaryngoscope®, during which their hemodynamic responses will be documented.
Intervention: Tracheal intubation using Storz VL (Other)
Group MacGrath VL
Patients will undergo intubation with the McGrath Videolaryngoscope®, during which their hemodynamic responses will be documented.
Intervention: Tracheal intubation using MacGrath VL (Other)
Group EzVision VL
Patients will undergo intubation with the EzVision Videolaryngoscope®, during which their hemodynamic responses will be documented.
Intervention: Tracheal intubation using EzVision VL (Other)
Group Traditional
Patients will undergo intubation with the traditional (Macintosh) laryngoscopy, during which their hemodynamic responses will be documented.
Intervention: Tracheal intubation using Macintosh laryngoscopy (Other)
Outcomes
Primary Outcomes
Hemodynamic response
Time Frame: Change from baseline heart rate at 10 minutes
Change from baseline heart rate
Hemodynamic response
Time Frame: Change from baseline Systolic or Diastolic or mean Blood Pressure at 10 minutes
Change from baseline invasive blood pressure
Secondary Outcomes
- Intubation time(180 seconds)
- Visualization of the glottis(180 seconds)
Investigators
Betul Kozanhan
Prof. Dr
Konya Meram State Hospital