Pressor responses following insertion of laryngeal mask airway in patients with controlled hypertension: comparison with tracheal intubation.

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dc.contributor.authorBhattacharya, Dipasrien_US
dc.contributor.authorGhosh, Sharmilaen_US
dc.contributor.authorChaudhuri, Tamonasen_US
dc.contributor.authorSaha, Sudeven_US
dc.date.accessioned2008-12-18en_US
dc.date.accessioned2009-05-31T16:47:25Z
dc.date.available2008-12-18en_US
dc.date.available2009-05-31T16:47:25Z
dc.date.issued2008-12-18en_US
dc.description.abstractThe present study was undertaken in patients with controlled hypertension to determine the pressor responses following insertion of laryngeal mask airway (LMA) as compared to endotracheal intubation. Two hundred patients with controlled hypertension of either sex, belonging to ASA II undergoing elective surgical procedures of 11/2 to 2 hours duration, were studied in a randomised manner into two equal groups: A(n =100) and B(n = 100) depending on whether LMA or endotracheal tube was used. General anaesthesia and controlled ventilation was undertaken according to standard procedure. Baseline and preinsertion values of heart rate, systolic blood pressure, and diastolic blood pressure were recorded and repeated at 1, 2 and 3 minutes after insertion of LMA or endotracheal intubation. The results showed that increase in systolic and diastolic blood pressure following endotracheal intubation (group A) was much more as compared to LMA (group B) (p<0.01). Heart rate also increased from baseline value in endotracheal intubation group than in LMA (P<0.05). To conclude insertion of LMA was associated with lesser pressure response as compared to endotracheal intubation in patients with controlled hypertension. It is an effective method to avoid laryngoscopic pressor response during endotracheal intubation in hypertensive patients.en_US
dc.description.affiliationDepartment of Anaesthesiology, RG Kar Medical College, Kolkata.en_US
dc.identifier.citationBhattacharya D, Ghosh S, Chaudhuri T, Saha S. Pressor responses following insertion of laryngeal mask airway in patients with controlled hypertension: comparison with tracheal intubation. Journal of the Indian Medical Association. 2008 Dec; 106(12): 787-8, 790, 810en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/104589
dc.language.isoengen_US
dc.source.urihttps://www.jimaonline.org.in/en_US
dc.subject.meshAdaptation, Physiologicalen_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Rateen_US
dc.subject.meshHumansen_US
dc.subject.meshHypertension --physiopathologyen_US
dc.subject.meshIntubation, Intratracheal --instrumentationen_US
dc.subject.meshLaryngeal Masksen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.titlePressor responses following insertion of laryngeal mask airway in patients with controlled hypertension: comparison with tracheal intubation.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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