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. 2018 Jul 3;26(3):386-393.
doi: 10.5606/tgkdc.dergisi.2018.15716. eCollection 2018 Jul.

Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery

Affiliations

Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery

Gökhan İnangil et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Background: This study aimed to compare hemodynamic response to endotracheal intubation using GlideScope and Macintosh laryngoscopes in patients who underwent cardiovascular surgery.

Methods: A total of 74 patients were enrolled in the study. Patients were randomly assigned into two groups either a GlideScope (n=37) or a Macintosh laryngoscope (n=37). Laryngoscopy time, heart rate, invasive arterial pressure and rate pressure product were compared during induction and until five minutes after laryngoscopy at 11 time points.

Results: Seventy patients completed the study. The intubation time was similar in both groups (14.1±4.0 sec vs. 13.2±4.2 sec; p=0.22). Hemodynamic values including heart rate, systolic, diastolic and mean arterial pressure and rate pressure product were similar at all-time points. The laryngoscopy time was also similar between groups.

Conclusion: The GlideScope video laryngoscope did not show any advantage on hemodynamic response in patients undergoing cardiovascular surgery when compared to Macintosh laryngoscope.

Keywords: Cardiovascular surgery; GlideScope; hemodynamic response; intubation; laryngoscopy.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. Consort of flow diagram of patient recruitment.
Figure 2
Figure 2. Changes of mean rate pressure product (RPP) between groups. Data are Mean±SD. For RPP, no significant difference was detected between groups (p>0.05).

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