Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope
Background & Objective: The induction of anesthesia, laryngoscopy and endotracheal intubation can be associated with adverse hemodynamic response and increased intraocular pressure. The aim of this study was to evaluate intraocular pressure and hemodynamic changes after laryngoscopy and endotrac...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Fasa University of Medical Sciences
2013-09-01
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| Series: | Journal of Advanced Biomedical Sciences |
| Subjects: | |
| Online Access: | http://jabs.fums.ac.ir/article-1-107-en.pdf |
| _version_ | 1797679684383670272 |
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| author | Hamid Khosro Zamiri Mehrdad Noroozi Siavash Moradi Mohammad Shabani Ali Sharifi Mohammad Ali Haghbin |
| author_facet | Hamid Khosro Zamiri Mehrdad Noroozi Siavash Moradi Mohammad Shabani Ali Sharifi Mohammad Ali Haghbin |
| author_sort | Hamid Khosro Zamiri |
| collection | DOAJ |
| description | Background & Objective: The induction of anesthesia, laryngoscopy and endotracheal intubation can be associated with adverse hemodynamic response and increased intraocular pressure. The aim of this study was to evaluate intraocular pressure and hemodynamic changes after laryngoscopy and endotracheal intubation with three methods of laryngoscopy (Macintosh, Maccoy and Video laryngoscope).Materials & Methods: One hundred and eighty patients with American Society of Anesthesiology (ASA) classification of I and II, aged 20-70 year, were enrolled in a randomized clinical trial (RCT). Anesthesia was induced by administration of Propofol 2 mg/kg, Fentanyl 1µg/kg and Cisatracurium 0.1mg/kg. the Hemodynamic information of the patients and intraocular pressures were documented and assessed in three stages (after induction of anesthesia and endotracheal intubation, and 5 minutes after endotracheal intubation using Maccoy, Macintosh and Video laryngoscope).Results: Hemodynamic parameters' of patients increased in these three groups compared with those of pre anesthesia measures, but this increase was not significant. Evaluation of intraocular pressure (IOP) in Video laryngoscope group showed that there is a significant drop in intraocular pressure (IOP) compared with other groups. There weren’t any significant differences of IOP after intubation in Maccoy compared to the Macintosh group. Nevertheless there was not any significant difference in IOP, before and five minutes after intubation in these groups.Conclusion: According to a low degree of augment of IOP in Video laryngoscope group and no changes in the Hemodynamic parameters, it seems that the use of Video laryngoscope in eye surgeries might be more suitable for endotracheal intubation. |
| first_indexed | 2024-03-11T23:18:28Z |
| format | Article |
| id | doaj.art-45d02942e38844e7868211f441b998dc |
| institution | Directory Open Access Journal |
| issn | 2228-5105 2783-1523 |
| language | English |
| last_indexed | 2024-03-11T23:18:28Z |
| publishDate | 2013-09-01 |
| publisher | Fasa University of Medical Sciences |
| record_format | Article |
| series | Journal of Advanced Biomedical Sciences |
| spelling | doaj.art-45d02942e38844e7868211f441b998dc2023-09-20T21:16:48ZengFasa University of Medical SciencesJournal of Advanced Biomedical Sciences2228-51052783-15232013-09-0132111116Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscopeHamid Khosro Zamiri0Mehrdad Noroozi1Siavash Moradi2Mohammad Shabani3Ali Sharifi4Mohammad Ali Haghbin5 Background & Objective: The induction of anesthesia, laryngoscopy and endotracheal intubation can be associated with adverse hemodynamic response and increased intraocular pressure. The aim of this study was to evaluate intraocular pressure and hemodynamic changes after laryngoscopy and endotracheal intubation with three methods of laryngoscopy (Macintosh, Maccoy and Video laryngoscope).Materials & Methods: One hundred and eighty patients with American Society of Anesthesiology (ASA) classification of I and II, aged 20-70 year, were enrolled in a randomized clinical trial (RCT). Anesthesia was induced by administration of Propofol 2 mg/kg, Fentanyl 1µg/kg and Cisatracurium 0.1mg/kg. the Hemodynamic information of the patients and intraocular pressures were documented and assessed in three stages (after induction of anesthesia and endotracheal intubation, and 5 minutes after endotracheal intubation using Maccoy, Macintosh and Video laryngoscope).Results: Hemodynamic parameters' of patients increased in these three groups compared with those of pre anesthesia measures, but this increase was not significant. Evaluation of intraocular pressure (IOP) in Video laryngoscope group showed that there is a significant drop in intraocular pressure (IOP) compared with other groups. There weren’t any significant differences of IOP after intubation in Maccoy compared to the Macintosh group. Nevertheless there was not any significant difference in IOP, before and five minutes after intubation in these groups.Conclusion: According to a low degree of augment of IOP in Video laryngoscope group and no changes in the Hemodynamic parameters, it seems that the use of Video laryngoscope in eye surgeries might be more suitable for endotracheal intubation.http://jabs.fums.ac.ir/article-1-107-en.pdfhemodynamic responsesintraocular pressurelaryngoscopyvideo laryngoscope |
| spellingShingle | Hamid Khosro Zamiri Mehrdad Noroozi Siavash Moradi Mohammad Shabani Ali Sharifi Mohammad Ali Haghbin Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope Journal of Advanced Biomedical Sciences hemodynamic responses intraocular pressure laryngoscopy video laryngoscope |
| title | Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope |
| title_full | Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope |
| title_fullStr | Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope |
| title_full_unstemmed | Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope |
| title_short | Evaluation of intra ocular pressure and hemodynamic change following intubation with Maccoy, Macintosh and Video laryngoscope |
| title_sort | evaluation of intra ocular pressure and hemodynamic change following intubation with maccoy macintosh and video laryngoscope |
| topic | hemodynamic responses intraocular pressure laryngoscopy video laryngoscope |
| url | http://jabs.fums.ac.ir/article-1-107-en.pdf |
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