Haemodynamic response and effectiveness of tracheal intubation with Airtraq ® versus Macintosh laryngoscope in paediatric patient undergoing elective surgery: Prospective, randomised and blind clinical trial

The purpose of this study is to assess the effects of propacetamol on attenuating hemodynamic responses subsequent laryngoscopy and tracheal intubation compared to lidocaine. In this randomized clinical trial, 62 patients with the American Anesthesiologists Society (ASA) class I/II who required laryngoscopy and tracheal intubation for elective surgery were assigned to receive propacetamol 2 g/I.V./infusion (group P) or lidocaine 1.5 mg/kg (group L) prior to laryngoscopy. Systolic and diastolic blood pressures (SBP, DBP), mean arterial pressure (MAP), and heart rate (HR) were recorded at baseline, before laryngoscopy and within nine minutes after intubation. In both groups P and L, MAP increased after laryngoscopy and the changes were statistically significant (P<0.001). There were significant changes of HR in both groups after intubation (P<0.02), but the trend of changes was different between two groups (P<0.001). In group L, HR increased after intubation and its change was statistically significant within 9 minutes after intubation (P<0.001), while in group P, HR remained stable after intubation (P=0.8). Propacetamol 2 gr one hour prior intubation attenuates heart rate responses after laryngoscopy but is not effective to prevent acute alterations in blood pressure after intubation.

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A comparison of tracheal intubation using the McGrath video laryngoscope or the Macintosh laryngoscope in routine airway management: A randomised, controlled clinical trial

European Journal of Anaesthesiology ◽

10.1097/00003643-200805001-00806 ◽

2008 ◽

Vol 25 (Sup 44) ◽

pp. 249

Author(s):

S. Frohlich ◽

E. OʼSullivan ◽

M. Carey

Keyword(s):

Clinical Trial ◽

Tracheal Intubation ◽

Airway Management ◽

Macintosh Laryngoscope ◽

Video Laryngoscope ◽

Controlled Clinical Trial ◽

Randomised Controlled Clinical Trial ◽

Randomised Controlled

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Effects of Oral Clonidine Premedication on Haemodynamic Response to Laryngoscopy and Tracheal Intubation: A Clinical Trial

Pakistan Journal of Biological Sciences ◽

10.3923/pjbs.2010.1146.1150 ◽

2010 ◽

Vol 13 (23) ◽

pp. 1146-1150 ◽

Cited By ~ 9

Author(s):

H. Talebi ◽

A. Nourozi ◽

S. Fateh ◽

A. Mohammadza ◽

P. Eghtesadi- ◽

...

Keyword(s):

Clinical Trial ◽

Tracheal Intubation ◽

Haemodynamic Response ◽

Oral Clonidine

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A comparison of tracheal intubation using the Airtraq�or the Macintosh laryngoscope in routine airway management: a randomised, controlled clinical trial

Anaesthesia ◽

10.1111/j.1365-2044.2006.04819.x ◽

2006 ◽

Vol 61 (11) ◽

pp. 1093-1099 ◽

Cited By ~ 134

Author(s):

C. H. Maharaj ◽

D. O'Croinin ◽

G. Curley ◽

B. H. Harte ◽

J. G. Laffey

Keyword(s):

Clinical Trial ◽

Tracheal Intubation ◽

Airway Management ◽

Macintosh Laryngoscope ◽

Controlled Clinical Trial ◽

Randomised Controlled Clinical Trial ◽

Randomised Controlled

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To Compare Mean Time Taken for Tracheal Intubation with Airtraq Versus Macintosh Laryngoscope in Elective Surgeries: A Randomised Clinical Trial

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i53b33692 ◽

2021 ◽

pp. 153-158

Author(s):

Kenza Nadeem ◽

Naila Zahoor ◽

Rabia Tabassum ◽

Ziauddin Kashmiri ◽

Muneeba Arshad ◽

...

Keyword(s):

Tracheal Intubation ◽

Elective Surgery ◽

Macintosh Laryngoscope ◽

Surgical Intensive Care Unit ◽

Maximum Effect ◽

Anesthesia Induction ◽

Surgical Intensive Care ◽

Group A ◽

Group B ◽

Mean Time

Objective: To compare mean time taken for tracheal intubation with Airtraq versus Macintosh laryngoscope in elective surgeries. Study Design: This is a Randomized control trial (RCT) study. Setting: Study carried out at Department of Anaesthesiology, Surgical Intensive Care Unit and Pain Management, Clinic, Dow University of Health Sciences and Dr. Ruth Pfau Hospital Karachi, from June 2016 to November 2016. Materials and Methods: A total of 60 patients divided 30 in each group randomly i.e. Macintosh laryngoscope Group A and Airtraq laryngoscope Group B who scheduled for elective surgery and fulfill the inclusion criteria. All patients were received intravenous glycopyrolate 0.2 mg, tramadol 2 mg/kg, and midazolam 0.03 mg/kg 10 minutes before induction of anesthesia. Induction was done with propofol 2-2.5 mg/kg, minimum 3 minutes were given to maximum effect of muscle relaxant. Time taken to intubate the trachea were noted in seconds and entered into the predesigned proforma. Results: The analysis included data on all the patients between 18 to 50 years of age who scheduled for elective surgery during the study period after applying the exclusion criteria. Mean ± SD of age in group A were 36.85±8.47 years and in group B were 37.49±9.32 years. In Gender distribution of group A 11 (36%) were male and 19 (64%) were female and in group B the distribution of male and female were 8 (27%) and 22 (73%) respectively. By comparing both the groups for time taken in tracheal intubation in seconds Mean ± SD of group A was 35±7.8 and in group B was 21±4.2 and P value found to be highly significant i.e. (0.0001). Conclusion: It is to be concluded that Airtraq laryngoscope is more effective instrument than Macintosh Laryngoscope for use in routine airway management and duration of successful tracheal intubation was shorter in the Airtraq group.

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