COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS
Background. Endotracheal intubation stimulates various responses such as coughing and bucking, bronchial and laryngeal spasm and hemodynamic changes. Muscle relaxants facilitate easy intubation, but not suppressing hemodynamic response. Superior laryngeus and transtracheal block is presume to suppre...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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University of Brawijaya
2018-04-01
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| Series: | Malang Neurology Journal |
| Subjects: | |
| Online Access: | http://mnj.ub.ac.id/index.php/mnj/article/view/344 |
| _version_ | 1818059179807473664 |
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| author | Hanggia Primadita Bhisma Murti Sugeng Budi Santosa |
| author_facet | Hanggia Primadita Bhisma Murti Sugeng Budi Santosa |
| author_sort | Hanggia Primadita |
| collection | DOAJ |
| description | Background. Endotracheal intubation stimulates various responses such as coughing and bucking, bronchial and laryngeal spasm and hemodynamic changes. Muscle relaxants facilitate easy intubation, but not suppressing hemodynamic response. Superior laryngeus and transtracheal block is presume to suppress hemodynamic changes while maintain intubation quality.
Objective. To compare intubation quality and hemodynamic response from superior laryngeus and transtracheal block and muscle relaxants.
Methods. Intubation quality is assessed using Helbo-Hansen Raulo and Trap Anderson. Blood Pressure, pulse and saturation were measured before and after intubation.
Results. All intubation is acceptable in muscle relaxants group (100%), one unacceptable in block group (5.9%). After intubation hemodynamic in both groups were significantly different (p=<0.05) for systolics (148.35±26.33 vs 109.53±15.98), diastolics (94.88±20.18 vs 68.00±15.54), MAP (109.65±21.18 vs 79.94±16.94), and for pulse (101.71±16.34 vs 87.47±20.03), except for saturation (99.35±0.79 vs 99.35±0.99).
Conclusion. Muscle relaxant and block deliver similar intubation quality, however block giving out better hemodynamic response stability. |
| first_indexed | 2024-12-10T13:12:25Z |
| format | Article |
| id | doaj.art-dd849c7ce41d4f2e9759a8816464a111 |
| institution | Directory Open Access Journal |
| issn | 2407-6724 2442-5001 |
| language | English |
| last_indexed | 2024-12-10T13:12:25Z |
| publishDate | 2018-04-01 |
| publisher | University of Brawijaya |
| record_format | Article |
| series | Malang Neurology Journal |
| spelling | doaj.art-dd849c7ce41d4f2e9759a8816464a1112022-12-22T01:47:39ZengUniversity of BrawijayaMalang Neurology Journal2407-67242442-50012018-04-0142727710.21776/ub.mnj.2018.004.02.575COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTSHanggia Primadita0Bhisma Murti1Sugeng Budi Santosa2Program Studi Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Sebelas Maret, SurakartaProgram Studi Magister Kedokteran Keluarga Fakultas Pasca Sarjana Universitas Sebelas Maret, SurakartaProgram Studi Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Sebelas Maret, SurakartaBackground. Endotracheal intubation stimulates various responses such as coughing and bucking, bronchial and laryngeal spasm and hemodynamic changes. Muscle relaxants facilitate easy intubation, but not suppressing hemodynamic response. Superior laryngeus and transtracheal block is presume to suppress hemodynamic changes while maintain intubation quality. Objective. To compare intubation quality and hemodynamic response from superior laryngeus and transtracheal block and muscle relaxants. Methods. Intubation quality is assessed using Helbo-Hansen Raulo and Trap Anderson. Blood Pressure, pulse and saturation were measured before and after intubation. Results. All intubation is acceptable in muscle relaxants group (100%), one unacceptable in block group (5.9%). After intubation hemodynamic in both groups were significantly different (p=<0.05) for systolics (148.35±26.33 vs 109.53±15.98), diastolics (94.88±20.18 vs 68.00±15.54), MAP (109.65±21.18 vs 79.94±16.94), and for pulse (101.71±16.34 vs 87.47±20.03), except for saturation (99.35±0.79 vs 99.35±0.99). Conclusion. Muscle relaxant and block deliver similar intubation quality, however block giving out better hemodynamic response stability.http://mnj.ub.ac.id/index.php/mnj/article/view/344Intubationsuperior laryngeustranstrachealblock |
| spellingShingle | Hanggia Primadita Bhisma Murti Sugeng Budi Santosa COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS Malang Neurology Journal Intubation superior laryngeus transtracheal block |
| title | COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS |
| title_full | COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS |
| title_fullStr | COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS |
| title_full_unstemmed | COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS |
| title_short | COMPARISON OF INTUBATION QUALITY AND HAEMODYNAMIC RESPONSE IN ENDOTRACHEAL INTUBATION BETWEEN SUPERIOR LARINGEUS AND TRANSTRACHEAL BLOCK AND MUSCLE RELAXANTS |
| title_sort | comparison of intubation quality and haemodynamic response in endotracheal intubation between superior laringeus and transtracheal block and muscle relaxants |
| topic | Intubation superior laryngeus transtracheal block |
| url | http://mnj.ub.ac.id/index.php/mnj/article/view/344 |
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