eamodynamic Changes During Airway Managment in Hypertensive Patients Undergoing Abdominoplasty Surgery

Abdulhamed Mohamed, Ali; Mohamed Suhan, Abbas

	eamodynamic Changes During Airway Managment in Hypertensive Patients Undergoing Abdominoplasty Surgery
Iraqi Postgraduate Medical Journal
Article 1, Volume 13, Issue 4, 2014, Pages 509-514 PDF (0 K)
Authors
Ali Abdulhamed Mohamed; Abbas Mohamed Suhan
Abstract
ABSTRACT: BACKGROUND: Avoidance of heamodynamic changes in hypertensive patients receiving general anesthesia is a goal including patients undergoing abdominoplasty surgery. OBJECTIVE: To compare haemodynamic responses to use of a classic laryngeal mask airway (LMA) versus endotracheal tube (ETT) in hypertensive females undergoing abdominoplasty surgery. PATIENT AND METHODS: Place and Duration of study: Al-Amaal private hospital from march. 2012 to march 2014. Fifty hypertensive female patient undergoing abdominoplasty surgery were randomly distrusted into two equal groups using alternate patient technique endotracheal tube( ETT ) and laryngeal mask airway (LMA) ( n=25 each). Patients in both groups were received general anaesthesia using standard anesthetic technique. Patients in ETT group underwent laryngoscopy and ETT intubation, whereas patients in LMA group received LMA without laryngoscopy for their airway maintenance. Haemodynamic variables, (pulse, systolic, diastolic and mean arterial pressures) were measured using non-invasive monitoring technique at various intervals before and after intubation or LMA placement , before and after extubation or LMA removal. CONCLUSION: Laryngeal mask airway provide more stable heamodynaics parameter than endotracheal tube during incertion and removal in hypertensive patients receving general anesthesia for abdominoplasty surgery.
Keywords
KEYWORDS; endotracheal intubation; classic laryngeal mask airway

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