• Aleksandra Gavrilovska-Brzanov, Mohhamed Al Jarallah, Andrea Cogliati, Maja Mojsova-Mijovska, Dragan Mijuskovic, and Dimce Slaveski.
• Clinic for Anesthesia Reanimation and Intensive Care University Clinical Center "Mother Theresa", Skopje, Macedonia.
• Acta Inform Med. 2015 Oct 1; 23 (5): 280-4.

IntroductionCardiac patients are more prone to develop hemodynamic instability on induction of anesthesia and endotracheal intubation. The Airtraq(®) optical laryngoscope is a single-use rigid video laryngoscope that has been developed to facilitate tracheal intubation. There are limited studies comparing differences in the circulatory responses to Airtraq(®) and direct Macintosh larynngoscopy in cardiac patients.AimThe purpose of our study was to evaluate whether there was clinically significant difference between the hemodynamic response to orotracheal intubation guided by either of the two devices (Airtraq(®) and Macintosh laryngoscopes) in patients who underwent coronary artery bypass grafting surgery.Material And MethodsIn this clinical study we analyzed the hemodynamic response to endotracheal intubation performed with Airtraq(®) or Macintosh laryngoscopes in patients who underwent elective coronary artery bypass graft surgery under general anesthesia.ResultsWe analyzed: blood pressure (systolic, diastolic, mean), heart rate and peripheral oxygen saturation (all notified before induction in anesthesia, immediately after induction, at the time of intubation and thereafter one and five minutes after intubation). We also recorded the maximal values of blood pressure and heart rate, as well as calculated the product of heart rate and systolic blood pressure. There were statistically significant differences in the hemodynamic response between the groups. At the time of intubation, there was significant inter-group difference in heart rate, systolic, diastolic and mean blood pressure. Endotracheal intubation with Macintosh laryngoscope was accompanied by significant increase in blood pressure and heart rate compared to Airtraq(®) group.ConclusionThe Airtraq(®) laryngoscope performed better than the Macintosh laryngoscope in terms of hemodynamic to the patient undergoing routine coronary artery bypass graft surgery.

4 keywords...

hide…