Assessment of haemodynamic response to the insertion of laryngeal mask airway

E. Sada, A. Phansopkar
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Abstract

Background: The major post operative complications associated with Endotracheal intubation such as sorethroat and Laryngitis, pharyngitis, laryngotracheal Most frequent cause of difficulty or danger in the administration of Anaesthesia is obstruction of airway. trauma and vocal cord dysfunction can be avoided with the judicial use of Laryngeal mask airway. So the purpose of the study was to assess haemo dynamic response to the insertion of laryngeal mask airway. Material and Methods: Total 50 patients of ASAGrade I and Grade II undergoing elective surgical procedures were studied. A thorough pre-operative examination and detailed history was completed according to the proforma. Proper placement of Laryngeal mask airway was confirmed by equal chest inflation. To observe the haemodynamic changes, heart rate, blood pressure, systolic and diastolic blood pressure, Mean arterial pressure (MAP), Rate pressure product (RPP) and Cardiac dysarthymia during insertion of the Laryngeal Mask Airway were recorded. Statistical analysis was done using appropriate statistical tests. Observation and Results: The actual rise of basal pulse was 9.54 per minute, in systolic blood pressure was 22.32 mm of Hg, in the diastolic blood pressure was 9.8 mm of Hg. The mean value of the Mean arterial pressure was 101.82 mm of Hg. The mean basal value of RPP was 8174.12. Conclusion: Thus present study showed that laryngeal mask airway is a well-designed and effective device with a unique role in airway management. Key Word: laryngeal mask airway. *Address for Correspondence: Dr. Elizabeth C Sada, Polaris Flat No 203. Kubera Park. Lullanagar Pune-40, Maharashtra, INDIA. Email: esada4447@gmail.com Received Date: 27/05/2019 Revised Date: 30/06/2019 Accepted Date: 11/08/2019 DOI: https://doi.org/10.26611/1061128
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喉罩插管后血流动力学反应的评价
背景:气管插管的主要术后并发症,如咽喉痛、咽炎、喉气管等,麻醉困难或危险的最常见原因是气道梗阻。合理使用喉罩气道可避免外伤和声带功能障碍。因此,本研究的目的是评估血液动力学对喉罩气道插入的反应。材料和方法:对50例接受择期外科手术的ⅰ级和ⅱ级患者进行研究。术前全面检查及详细病史均按形式完成。适当放置喉罩气道被确认为相等的胸部膨胀。观察血流动力学变化,记录喉罩气道插入过程中心率、血压、收缩压、舒张压、平均动脉压(MAP)、率压积(RPP)和心脏异常。采用适当的统计检验进行统计分析。观察与结果:基础脉搏实际上升9.54次/分,收缩压22.32 mm Hg,舒张压9.8 mm Hg,平均动脉压平均值101.82 mm Hg, RPP基础平均值8174.12。结论:本研究表明喉罩气道是一种设计合理、效果良好的设备,在气道管理中具有独特的作用。关键词:喉罩气道;*通讯地址:Dr. Elizabeth C Sada, Polaris公寓203号。Kubera公园。印度马哈拉施特拉邦浦那40号。收稿日期:27/05/2019修稿日期:30/06/2019收稿日期:11/08/2019 DOI: https://doi.org/10.26611/1061128
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