The Maximal Changes of Vital Signs to Laryngeal Mask Airway ProSealTM (PLMA(TM)) Insertion or Tracheal Intubation after Anesthetic Induction in Hypertensive Patients / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 145-149, 2002.
Article
in Korean
| WPRIM
| ID: wpr-105441
ABSTRACT
BACKGROUND:
This study was performed to evaluate the hemodynamic changes of insertion of a laryngeal mask airway ProSealTM (PLMATM) or tracheal intubation in hypertensive patients.METHODS:
Twenty hypertensive patients, aged between 41 to 73 yrs, undergoing an elective surgery, were studied. All patients were allocated randomly to have their surgery performed with endotracheal intubation (Group ET, n = 10) or PLMA(TM) (Group PLMA, n = 10) and were studied for cardiovascular responses related to intubation or PLMA(TM) insertion. Anesthesia was induced with thiopental sodium and vecuronium intravenously. The lungs were then ventilated manually through a facemask with 1.0% enflurane in oxygen and maximal changes (%) in systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) and heart rate (HR) were measured after tracheal intubation or PLMA(TM) insertion after anesthetic induction.RESULTS:
The maximal changes (%) in SBP, DBP, MBP and HR were less in Group PLMA than in Group ET during the observation period (SBP 7.2 +/- 6.8 vs 55.7 +/- 5.7, DBP 7.3 +/- 6.3 vs 47.5 +/- 8.3, MBP 7.9 +/- 6.9 vs 50.5 +/- 5.7, HR 10.8 +/- 7.2 vs 48.2 +/- 6.1, P < 0.05).CONCLUSIONS:
PLMA(TM) insertion elicited less hemodynamic change than tracheal intubation in hypertensive patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Thiopental
/
Blood Pressure
/
Vecuronium Bromide
/
Laryngeal Masks
/
Enflurane
/
Vital Signs
/
Heart Rate
/
Hemodynamics
/
Hypertension
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2002
Type:
Article
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