ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Comparison of hemodynamic responses to endotracheal intubation with the GlideScope video laryngoscope and Macintosh laryngoscope in patients undergoing cardiovascular surgery
Gökhan İnangil1, Kadir Hakan Cansız1, Fuat Gürbüz1, Ömer Bakal1, Fatma Merih Gökben1, Hüseyin Şen
1Department of Anesthesiology and Reanimation, University of Health Sciences, Sultan Abdülhamid Han Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2018.15716
Background: This study aimed to compare hemodynamic response to endotracheal intubation using GlideScope and Macintosh laryngoscopes in patients who underwent cardiovascular surgery.

Methods: 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.

Results: 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.

Conclusion: The GlideScope video laryngoscope did not show any advantage on hemodynamic response in patients undergoing cardiovascular surgery when compared to Macintosh laryngoscope.

Keywords : Cardiovascular surgery; GlideScope; hemodynamic response; intubation; laryngoscopy
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