Comparison of Hemodynamic Changes After the Insertion of Laryngeal Mask Airway Versus Endotracheal Intubation | Chapter 5 | Medicine and Medical Research: New Perspectives Vol. 10

Background and Aims: Serious hemodynamic deviations can arise with endotracheal intubation, which leads to a short but evident Cardiovascular response. The aim of this study is to observe the hemodynamic responses after the insertion of laryngeal mask airway and endotracheal intubation.

Study Design:  This is a randomised controlled study.

Place and Duration of Study: The study was organized at SRM Medical College and Research Center, Kattangulathur, 603203, India over the course of one year.

Methodology: Sixty patients, varying in age between eighteen to sixty, were divided into two comparable groups at random: 30 belonged to Group 1 (LMA) and 30 to Group 2 (ETT). Heart rate (HR), blood pressure (SBP & DBP), and oxygen saturation were measured at baseline, during induction, and at the 0th, 3rd, and 5th min following successful intubation in each group in order to evaluate the hemodynamic response.

Results: Patients in both groups had stable vitals. The mean HR, DBP, SBP and oxygen saturation between the Group LMA and Group ETT were analyzed. After statistical analysis with an independent student t-test was found to be statistically significant (p < 0.05) for mean HR, SBP and DBP whereas mean oxygen saturation was found to be statistically insignificant (p >0.05).

Conclusion: The study concludes that the laryngeal mask airway for short (<60 mins) surgical procedures causes less hemodynamic changes when compared with endotracheal intubation.

 

Author (s) Details

A. Pushparani
Department of Anaesthesiology, SRM medical college and research center, SRMIST, Kattangulathur, 603203, India.

 

G. Mirunalini
Department of Anaesthesiology, SRM medical college and research center, SRMIST, Kattangulathur, 603203, India.

 

Getsyal
Department of Anaesthesiology, SRM medical college and research center, SRMIST, Kattangulathur, 603203, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v10/2298

New Method of Classic Laryngeal Mask Air Way Insertion | Chapter 14 | New Advances in Medicine and Medical Science Vol. 6

 The present study was completed activity to validate the new system for correct anatomic installation of the LMA and to compare it accompanying the standard technique. Laryngeal mask ventilating pipe (LMA) is a supraglottic airway device used to control the ventilating pipe during the presidency of anesthesia in the room for surgery and for emergency ventilating pipe management.This study was exhausted Basrah University Medical Center from 1st January 2019 to 31st December 2019. Patients were randomly appointed and categorized into two groups; Group I – the students that study together, and Group II – the standard (control) group. Results were expressed as repetitions or means ± standard departures. Frequencies or means were compared utilizing X2 and t-test, respectively.Study transported a new technique at which point the device is introduced easily outside digital guidance during insert. It will be appropriate for the anesthesiologists and healing personnel the one use LMA as there is less risk of contamination or injury to their fingers. Three hundred and ninety-seven (397) participants were registered in this study accompanying a mean age of 35.7 ± 14 y. Of those, 154 (38.8%) were males. The new plan showed larger sensitivity and veracity rate (97.4%, 95.9%, respectively) distinguished to the standard method.In comparison to the normal method of insert, the new method is a suitable method that improved the ease of LMA insert and successfully inserted the device in a smaller amount of time outside complications. The study approves this technique expected used in sleep-inducer practice as a sole method, or a suggestion of choice technique, at any time there is a trouble.

Author(s) Details:

Jasim M. Salman,
Department of Anesthesiology, University of Basrah, College of Medicine, Basrah, Iraq.

Please see the link here: https://stm.bookpi.org/NAMMS-V6/article/view/10995