CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY

Objective: To compare the hemodynamic response between flexible fiber optic bronchoscope (FOB) and Macintosh laryngoscope during orotracheal intubation. The secondary objective was to calculate the time required for intubation between these two techniques Study Design: Quasi experimental study. Plac...

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Autores principales:	Moazzam Ali, Maliha Khawar, Maryam Nazneen, Zaqawat Nazneen
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	fiber optic bronchoscope hemodynamics intubation laryngoscopy stress response Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v71iSuppl-1.2544 https://doaj.org/article/82fed704d1234806afa985b201fe3251
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spelling	oai:doaj.org-article:82fed704d1234806afa985b201fe32512021-12-02T15:01:56ZCARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERYhttps://doi.org/10.51253/pafmj.v71iSuppl-1.25440030-96482411-8842https://doaj.org/article/82fed704d1234806afa985b201fe32512021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2544https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the hemodynamic response between flexible fiber optic bronchoscope (FOB) and Macintosh laryngoscope during orotracheal intubation. The secondary objective was to calculate the time required for intubation between these two techniques Study Design: Quasi experimental study. Place and Duration of Study: Department of Anesthesia, Frontier Corps Hospital Quetta, from Oct 2016 to Apr 2017. Methodology: Eighty patients fulfilling the inclusion/exclusion criteria were included in this study and were divided randomly into two groups. Group L was intubated with Macintosh laryngoscope (control group) where-as group F was intubated with Fiber optic bronchoscope. Mean arterial pressure and heart rate was recorded as baseline, pre-intubation and then every 01 minute for 03 minutes. Changes in heart rate and mean arterial pressure were recorded in the proforma by another anesthetist who was blinded to the procedure performed. Results: The mean age in group L was 41.23 ± 8.37 years and in group F was 40.73 ± 9.77 years. The mean weight in group L was 69.63 ± 8.92 kg and in group F was 70.6 ± 9.20 kg. In group L, male to female ratio was 26:14 whereas in group F it was 28:12. Mean heart rate and mean arterial pressure did not show significant change over time between groups. Time required for intubation was significantly less (22.45 ± 4.12 secs) in laryngoscopy group versus Fiber-Optic Bronchoscope group (44.68 ± 5.88 secs). Conclusion: In conclusion we can say that our study demonstrated that using laryngoscope or Fiber-Optic Bronchoscope for orotracheal intubation exhibits no difference in hemodynamic parameters and serves no added advantage in attenuating the stress response to intubation.Moazzam AliMaliha KhawarMaryam NazneenZaqawat NazneenArmy Medical College Rawalpindiarticlefiber optic bronchoscopehemodynamicsintubationlaryngoscopystress responseMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss SUPPL-1, Pp 180-185 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fiber optic bronchoscope hemodynamics intubation laryngoscopy stress response Medicine R Medicine (General) R5-920
spellingShingle	fiber optic bronchoscope hemodynamics intubation laryngoscopy stress response Medicine R Medicine (General) R5-920 Moazzam Ali Maliha Khawar Maryam Nazneen Zaqawat Nazneen CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
description	Objective: To compare the hemodynamic response between flexible fiber optic bronchoscope (FOB) and Macintosh laryngoscope during orotracheal intubation. The secondary objective was to calculate the time required for intubation between these two techniques Study Design: Quasi experimental study. Place and Duration of Study: Department of Anesthesia, Frontier Corps Hospital Quetta, from Oct 2016 to Apr 2017. Methodology: Eighty patients fulfilling the inclusion/exclusion criteria were included in this study and were divided randomly into two groups. Group L was intubated with Macintosh laryngoscope (control group) where-as group F was intubated with Fiber optic bronchoscope. Mean arterial pressure and heart rate was recorded as baseline, pre-intubation and then every 01 minute for 03 minutes. Changes in heart rate and mean arterial pressure were recorded in the proforma by another anesthetist who was blinded to the procedure performed. Results: The mean age in group L was 41.23 ± 8.37 years and in group F was 40.73 ± 9.77 years. The mean weight in group L was 69.63 ± 8.92 kg and in group F was 70.6 ± 9.20 kg. In group L, male to female ratio was 26:14 whereas in group F it was 28:12. Mean heart rate and mean arterial pressure did not show significant change over time between groups. Time required for intubation was significantly less (22.45 ± 4.12 secs) in laryngoscopy group versus Fiber-Optic Bronchoscope group (44.68 ± 5.88 secs). Conclusion: In conclusion we can say that our study demonstrated that using laryngoscope or Fiber-Optic Bronchoscope for orotracheal intubation exhibits no difference in hemodynamic parameters and serves no added advantage in attenuating the stress response to intubation.
format	article
author	Moazzam Ali Maliha Khawar Maryam Nazneen Zaqawat Nazneen
author_facet	Moazzam Ali Maliha Khawar Maryam Nazneen Zaqawat Nazneen
author_sort	Moazzam Ali
title	CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
title_short	CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
title_full	CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
title_fullStr	CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
title_full_unstemmed	CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY
title_sort	cardiovascular response to laryngoscopy versus fiber-optic bronchoscope during orotracheal intubation in patients undergoing elective surgery
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doi.org/10.51253/pafmj.v71iSuppl-1.2544 https://doaj.org/article/82fed704d1234806afa985b201fe3251
work_keys_str_mv	AT moazzamali cardiovascularresponsetolaryngoscopyversusfiberopticbronchoscopeduringorotrachealintubationinpatientsundergoingelectivesurgery AT malihakhawar cardiovascularresponsetolaryngoscopyversusfiberopticbronchoscopeduringorotrachealintubationinpatientsundergoingelectivesurgery AT maryamnazneen cardiovascularresponsetolaryngoscopyversusfiberopticbronchoscopeduringorotrachealintubationinpatientsundergoingelectivesurgery AT zaqawatnazneen cardiovascularresponsetolaryngoscopyversusfiberopticbronchoscopeduringorotrachealintubationinpatientsundergoingelectivesurgery
_version_	1718389148780331008

CARDIOVASCULAR RESPONSE TO LARYNGOSCOPY VERSUS FIBER-OPTIC BRONCHOSCOPE DURING OROTRACHEAL INTUBATION IN PATIENTS UNDERGOING ELECTIVE SURGERY

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