İnangil Gökhan, Cansız Kadir Hakan, Gürbüz Fuat, Bakal Ömer, Gökben Fatma Merih, Şen Hüseyin
Department of Anesthesiology and Reanimation, University of Health Sciences, Sultan Abdülhamid Han Training and Research Hospital, İstanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):386-393. doi: 10.5606/tgkdc.dergisi.2018.15716. eCollection 2018 Jul.
This study aimed to compare hemodynamic response to endotracheal intubation using GlideScope and Macintosh laryngoscopes in patients who underwent cardiovascular surgery.
A total of 74 patients were enrolled in the study. Patients were randomly assigned into two groups either a GlideScope (n=37) or a Macintosh laryngoscope (n=37). Laryngoscopy time, heart rate, invasive arterial pressure and rate pressure product were compared during induction and until five minutes after laryngoscopy at 11 time points.
Seventy patients completed the study. The intubation time was similar in both groups (14.1±4.0 sec vs. 13.2±4.2 sec; p=0.22). Hemodynamic values including heart rate, systolic, diastolic and mean arterial pressure and rate pressure product were similar at all-time points. The laryngoscopy time was also similar between groups.
The GlideScope video laryngoscope did not show any advantage on hemodynamic response in patients undergoing cardiovascular surgery when compared to Macintosh laryngoscope.
本研究旨在比较在接受心血管手术的患者中，使用GlideScope喉镜和Macintosh喉镜进行气管插管时的血流动力学反应。
共有74例患者纳入本研究。患者被随机分为两组，即GlideScope组（n = 37）和Macintosh喉镜组（n = 37）。在诱导期间以及喉镜检查后五分钟内的11个时间点，比较喉镜检查时间、心率、有创动脉压和率压乘积。
70例患者完成了研究。两组的插管时间相似（14.1±4.0秒对13.2±4.2秒；p = 0.22）。在所有时间点，包括心率、收缩压、舒张压和平均动脉压以及率压乘积在内的血流动力学值均相似。两组之间的喉镜检查时间也相似。
与Macintosh喉镜相比，GlideScope视频喉镜在接受心血管手术的患者的血流动力学反应方面未显示出任何优势。
