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Endotracheal intubation with a lightwand or a laryngoscope results in similar hemodynamic variations in patients with coronary artery disease

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dc.creatorMontes F.R.spa
dc.creatorGiraldo J.C.spa
dc.creatorBentancur L.A.spa
dc.creatorRincón J.D.spa
dc.creatorRincón I.E.spa
dc.creatorVanegas M.V.spa
dc.creatorCharris H.spa
dc.date.accessioned2020-05-26T00:03:45Z
dc.date.available2020-05-26T00:03:45Z
dc.date.created2003spa
dc.description.abstractPurpose: To asses the cardiovascular changes after either lightwand or conventional laryngoscopic endotracheal intubation (EI) in patients with coronary artery disease. Methods: Following Institutional approval and informed consent, 80 consecutive patients undergoing elective coronary artery bypass grafting were enrolled in this prospective, controlled, single-blinded study. General anesthesia was induced with fentanyl 5 ?·kg-1 and thiopental 5 mg·kg-1 followed by pancuronium 0.1 mg·kg-1. After loss-of-eyelash reflex the lungs were manually ventilated with 2% isoflurane in oxygen for five minutes. Patients were then randomly allocated to receive either the lightwand (lightwand group, n = 41) or direct-vision laryngoscopy (laryngoscopy group, n = 39). Heart rate (HR) and direct blood pressure were recorded before induction, after induction but before EI, during EI, immediately after EI and at ten-second intervals for the following five minutes. Hemodynamic management during induction was standardized. Hypotension was treated with volume replacement, ephedrine, or phenylephrine as indicated; hypertension was treated with iv nitroglycerin; tachycardia. was treated with boluses of esmolol; and, bradycardia was treated with atropine or ephedrine. Results: In both groups, mean arterial blood pressures and HR increased significantly after EI. There was a tendency for the lightwand group to have lower arterial blood pressures and slower HR. However, the differences between the two groups did not reach statistical significance. Requirements for drugs to control HR and mean arterial pressure were similar in both groups. Conclusion: In patients with coronary artery disease using a lightwand intubation technique does not modify the hemodynamic response associated with EI as compared with standard direct-vision laryngoscopy.eng
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23626
dc.language.isoengspa
dc.relation.citationEndPage828
dc.relation.citationIssueNo. 8
dc.relation.citationStartPage824
dc.relation.citationTitleCanadian Journal of Anesthesia
dc.relation.citationVolumeVol. 50
dc.relation.ispartofCanadian Journal of Anesthesia, Vol.50, No.8 (2003); pp. 824-828spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-0345688860&partnerID=40&md5=b6da7140aed61bf8e94ba6bd9afc4288spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAtropinespa
dc.subject.keywordBeta adrenergic receptor blocking agentspa
dc.subject.keywordCalcium channel blocking agentspa
dc.subject.keywordDipeptidyl carboxypeptidase inhibitorspa
dc.subject.keywordEphedrinespa
dc.subject.keywordEsmololspa
dc.subject.keywordFentanylspa
dc.subject.keywordGlyceryl trinitratespa
dc.subject.keywordIsofluranespa
dc.subject.keywordNitric acid derivativespa
dc.subject.keywordOxygenspa
dc.subject.keywordPancuroniumspa
dc.subject.keywordPhenylephrinespa
dc.subject.keywordThiopentalspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAnesthesiological techniquesspa
dc.subject.keywordAnesthetic equipmentspa
dc.subject.keywordArterial pressurespa
dc.subject.keywordArticlespa
dc.subject.keywordArtificial ventilationspa
dc.subject.keywordBlood pressurespa
dc.subject.keywordBlood pressure measurementspa
dc.subject.keywordBradycardiaspa
dc.subject.keywordCardiopulmonary hemodynamicsspa
dc.subject.keywordClinical trialspa
dc.subject.keywordControlled clinical trialspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCoronary artery atherosclerosisspa
dc.subject.keywordCoronary artery bypass graftspa
dc.subject.keywordCoronary artery diseasespa
dc.subject.keywordElective surgeryspa
dc.subject.keywordElectrocardiographyspa
dc.subject.keywordEndotracheal intubationspa
dc.subject.keywordEyelid reflexspa
dc.subject.keywordFemalespa
dc.subject.keywordGeneral anesthesiaspa
dc.subject.keywordHeart ratespa
dc.subject.keywordHemodynamicsspa
dc.subject.keywordHumanspa
dc.subject.keywordHypertensionspa
dc.subject.keywordHypotensionspa
dc.subject.keywordInformed consentspa
dc.subject.keywordIntravenous administrationspa
dc.subject.keywordLaryngoscopespa
dc.subject.keywordLaryngoscopyspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPhysiologyspa
dc.subject.keywordPriority journalspa
dc.subject.keywordProspective studyspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordSingle blind procedurespa
dc.subject.keywordStatistical significancespa
dc.subject.keywordTachycardiaspa
dc.subject.keywordAgedspa
dc.subject.keywordBlood pressurespa
dc.subject.keywordCoronary arteriosclerosisspa
dc.subject.keywordElectrocardiographyspa
dc.subject.keywordFemalespa
dc.subject.keywordHeart ratespa
dc.subject.keywordHemodynamic processesspa
dc.subject.keywordHumansspa
dc.subject.keywordIntubationeng
dc.subject.keywordLaryngoscopesspa
dc.subject.keywordLaryngoscopyspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordProspective studiesspa
dc.subject.keywordSingle-blind methodspa
dc.titleEndotracheal intubation with a lightwand or a laryngoscope results in similar hemodynamic variations in patients with coronary artery diseasespa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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