COMPARATIVE STUDY OF HEMODYNAMIC RESPONSE USING LARYNGEAL MASK AIRWAY (LMA) VERSUS ENDOTRACHEAL TUBE (ETT) IN CONTROLLED HYPERTENSION PATIENTS

ZU ABIDIN; R WADOOD; N AHMED; T ABBASI; A ULLAH; IU KHAN

doi:10.54112/bcsrj.v2023i1.292

Authors

ZU ABIDIN Department of Anaesthesia, Kabir Medical College MMC GH Maqsood Medical Center and General Hospital Peshawar, Pakistan
R WADOOD Department of Anaesthesia, Lady Reading Hospital MTI Peshawar (KP), Pakistan
N AHMED Department of Anaesthesia, Qassim University Medical City Hospital, Pakistan
T ABBASI Department of Anaesthesia, Ayub Medical College Abbottabad, Pakistan
A ULLAH Department of Anaesthesia, Lady Reading Hospital MTI Peshawar (KP), Pakistan
IU KHAN Department of Anaesthesia, Lady Reading Hospital MTI Peshawar (KP), Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.292

Keywords:

Haemodynamic response, Laryngoscopy and Endotracheal intubation., LMA

Abstract

In the practical conduct of Anaesthesia, Airway management is crucial to the outcome & best patient care. A total of n=114 patients,30-50 yrs with mean age 38.736± 4.36 years; 57 each group of Laryngoscopy and ETT; and LMA group undergoing elective surgery of 30 minutes to 01-hour duration in controlled hypertensives were included in the study. The hemodynamic response was noted, recording pulse rate, Systolic BP, Diastolic BP, and MAP immediately after 1,3,5 minute of laryngoscopy & intubation or LMA insertion. The study results showed a hemodynamic response of 59.6% in patients of the Laryngoscopy & ETT group compared to 40.4% in the LMA group. The study revealed attenuated hemodynamic response to LMA insertion with improved hemodynamic; stability compared to laryngoscopy & intubation. The results advocate using supraglottic airway devices, especially LMA merits, in selected patients & circumstances.

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