Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T02:57:00.806Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of haemodynamic responses to orotracheal intubation with GlideScope® videolaryngoscope and fibreoptic bronchoscope

Published online by Cambridge University Press:  01 March 2006

F. S. Xue ,
G. H. Zhang ,
X. Y. Li ,
H. T. Sun ,
P. Li ,
H. Y. Sun ,
Y. C. Xu  and
Y. Liu
F. S. Xue
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
G. H. Zhang
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
X. Y. Li
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
H. T. Sun
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
P. Li
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
H. Y. Sun
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
Y. C. Xu
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
Y. Liu
Affiliation:
Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Department of Anaesthesiology, Beijing, China
Get access

Extract

Summary

Background and objective: The GlideScope® videolaryngoscope is a newly developed laryngoscope for tracheal intubation recently introduced into clinical anaesthesia. In this randomised clinical study, we compared the haemodynamic responses to orotracheal intubation using a GlideScope® videolaryngoscope and a fibreoptic bronchoscope. Methods: Fifty-six adult patients, ASA I–II scheduled for elective plastic surgery under general anaesthesia requiring orotracheal intubation were randomly allocated to either the GlideScope® videolaryngoscope group or the fibreoptic bronchoscope group. After a standard intravenous anaesthetic induction, orotracheal intubation was performed. Noninvasive blood pressure and heart rate were recorded before and after induction, at intubation and for 5 min after intubation at 1 min intervals. Results: As compared with the post-induction values the orotracheal intubations using a fibreoptic bronchoscope and a GlideScope® videolaryngoscope resulted in the significant increases in blood pressures which did not exceed their baseline values. In the two groups, heart rates at intubation and within 2 min after intubation were significantly higher than their baseline values. However, there were no significant differences in blood pressures and heart rates at all time points, their maximal values and maximal percent changes during the observation and the times required to reach their maximal values between the two groups. Conclusions: The orotracheal intubations using a fibreoptic bronchoscope and a GlideScope® videolaryngoscope produce similar haemodynamic responses.

Keywords

INTUBATION, INTRATRACHEAL, fibreoptic bronchoscope, video laryngoscopeANAESTHESIA GENERALCARDIOVASCULAR PHYSIOLOGYHAEMODYNAMIC PHENOMENA, blood pressure, heart rate
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 23 , Issue 6 , June 2006 , pp. 522 - 526
Copyright
© 2006 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cooper RM. Use of a new videolaryngoscope (GlideScope®) in the management of a difficult airway. Can J Anaesth 2003; 50: 611–613.Google Scholar
Agro F, Barzoi G, Montecchia F. Tracheal intubation using a Macintosh laryngoscope or a GlideScope® in 15 patients with cervical spine immobilization. Br J Anaesth 2003; 90: 705–706.Google Scholar
Doyle DJ. Awake intubation using the GlideScope® video laryngoscope: initial experience in four cases. Can J Anaesth 2004; 51: 642–643.Google Scholar
Lim Y, Lim TJ, Liu EH. Ease of intubation with the GlideScope or Macintosh laryngoscope by inexperienced operators in simulated difficult airways. Can J Anaesth 2004; 51: 641–642.Google Scholar
Cooper RM, Pacey JA, Bishop MJ, McCluskey SA. Early clinical experience with a new videolaryngoscope (GlideScope®) in 728 patients. Can J Anesth 2005; 52: 191–198.Google Scholar
GlideScope®. Operator and Service Manual. Saturn Biomedical Systems Inc., 2003.
Xue FS, Li XY, Zhang GH, Li CW, Sun HT. A comparative study of hemodynamic responses to orotracheal intubation with GlideScope videolaryngoscope and Macintosh direct laryngoscope. Forum Anesth Monit (Chinese) 2005; 12: 168–171.Google Scholar
Finfer SR, MacKenzie SIP, Saddler JM, Watkins TGL. Haemodynamic responses to tracheal intubation: a comparison of direct laryngoscopy and fiberoptic intubation. Anesth Intens Care 1989; 17: 44–48.Google Scholar
Sun HY, Xue FS, Li P, Li CW, Sun HT. A comparative study of hemodynamic responses to orotracheal intubation with fibreoptic bronchoscope and direct laryngoscope. Forum Anesth Monit (Chinese) 2003; 10: 262–265.Google Scholar
Schaefer HG, Marsch SC, Strebel SP, Drewe J. Cardiovascular effects of fibreoptic oral intubation. A comparison of a total intravenous and a balanced volatile technique. Anaesthesia 1992; 47: 1034–1036.Google Scholar
Schaefer HG, Marsch SC. Comparison of orthodox with fibreoptic orotracheal intubation under total i.v. anaesthesia. Br J Anaesth 1991; 66: 608–610.Google Scholar
Adachi YU, Takamatsu I, Watanabe K, Uchihashi Y, Higuchi H, Satoh T. Evaluation of the haemodynamic responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy. J Clin Anesth 2000; 12: 503–508.Google Scholar
Barak M, Ziser A, Greenberg A, Lischinsky S, Rosenberg B. Hemodynamic and catecholamine response to tracheal intubation: direct laryngoscopy compared with fiberoptic intubation. J Clin Anesth 2003; 15: 132–136.Google Scholar
Li P, He N, Xue FS. The adverse physiologic responses to intubation and its prevention. In: Xue FS, ed. Modern Airway Management – Critical Procedure for Anesthesia and Intensive Care. Zhengzhou, China: Zhengzhou University Publishing House, 2002: 1020–1030.
Bishop MJ, Harrington RM, Tencer AF. Force applied during tracheal intubation. Anesth Analg 1992; 74: 411–414.Google Scholar
Bucx MJ, Scheck PA, Van Geel RT, Den Ouden AH, Niesing R. Measurement of forces during laryngoscopy. Anaesthesia 1992; 47: 348–351.Google Scholar
Bucx MJ, van Geel RT, Scheck PA, Stijnen T. Cardiovascular effects of forces applied during laryngoscopy. The importance of tracheal intubation. Anaesthesia 1992; 47: 1029–1033.Google Scholar
Benumof JL. Conventional (laryngoscopic) orotracheal and nasotracheal intubation (single-lumen type). In: Benumof JL, ed. Clinical Procedures in Anesthesia and Intensive Care. Philadelphia: J.B. Lippincott Company, 1992: 131.
Takahashi S, Mizutani T, Miyabe M, Toyooka H. Hemodynamic responses to tracheal intubation with laryngoscope versus lightwand intubating device (Trachlight) in adults with normal airway. Anesth Analg 2002; 95: 480–484.Google Scholar
Hirabayashi Y, Hiruta M, Kawakami T et al. Effects of lightwand (Trachlight) compared with direct laryngoscopy on circulatory responses to tracheal intubation. Br J Anaesth 1998; 81: 253–255.Google Scholar