일반 후두경과 비디오 후두경을 이용한 기관내 삽관의 심박수 및 혈압 상승 효과의 비교 = Comparison of the Effects on Heart Rate and Blood Pressure between Conventional and Video Laryngoscopic Intubation

다국어 초록 (Multilingual Abstract)

Glidescope® is a video-assisted intubation device.It offers a clear view and is easy to use, giving it several advantages over conventional intubation devises.This study was designed to compare the hemodynamic effects and POGO scores between conventional and video laryngoscopic intubation.
Methods:Sixty adult patients with ASA 1 or 2 were randomly allocated into two groups; Glidescope® (group G) or Macintosh (group M).Anesthesia was induced with propofol and remifentanil.Blood pressure and heart rate were recorded just prior to intubation and 1, 3, and 5 minutes after intubation.POGO scores, intubation time and the severity of sore throat were also recorded.
Results:There were no significant differences in SBP, MBP, DBP, HR, POGO score, intubation time and the severity of sore throat between two groups.
Conclusions:The POGO scores and hemodynamic changes associated with tracheal intubation using the Glidescope® were almost the same as that of the Macintosh group.

다국어 초록 (Multilingual Abstract)

Glidescope® is a video-assisted intubation device.It offers a clear view and is easy to use, giving it several advantages over conventional intubation devises.This study was designed to compare the hemodynamic effects and POGO scores between conventional and video laryngoscopic intubation.
Methods:Sixty adult patients with ASA 1 or 2 were randomly allocated into two groups; Glidescope® (group G) or Macintosh (group M).Anesthesia was induced with propofol and remifentanil.Blood pressure and heart rate were recorded just prior to intubation and 1, 3, and 5 minutes after intubation.POGO scores, intubation time and the severity of sore throat were also recorded.
Results:There were no significant differences in SBP, MBP, DBP, HR, POGO score, intubation time and the severity of sore throat between two groups.
Conclusions:The POGO scores and hemodynamic changes associated with tracheal intubation using the Glidescope® were almost the same as that of the Macintosh group.

참고문헌 (Reference)

1 정철우, "후두경을 이용한 기관내삽관시의 심혈관계 반응을 억제하는 Remifentanil의 적정 용량" 대한마취과학회 49 (49): 780-785, 2005

2 이상석, "광봉 또는 직접후두경을 이용한 기관삽관시 혈압상승과 삽관시간의 연관성" 대한마취과학회 52 (52): 9-13, 2007

3 Tewari P, "sparing during endotracheal intubation using McCoy laryngoscope in neurosurgical patients: the comparison of haemodynamic changes with Macintosh blade in a randomized trial" 51 : 260-264, 2005

4 Cooper RM, "Use of a new videolaryngoscope (GlidescopeⓇ) in the management of a difficult airway" 50 : 611-613, 2003

5 Bishop MJ, "Physiologic and pathophysiologic responses to intubation. In: Airway Management" St. Louis, Mosby 102-117, 1996

6 Glass PSA, "Intravenous drug delivery systems. In: Miller's Anesthesia. 6th" Elsevier Churchill Livingstone 439-480, 2005

7 Takahashi S, "Hemodynamic responses to tracheal intubation with laryngoscope versus lightwand intubating device (Trachlight) in adults with normal airway" 95 : 480-484, 2002

8 Miller DR, "Effects of alfentanil on the hemodynamic and catecholamine response to tracheal intubation" 76 : 1040-1046, 1993

9 Cooper RM, "Early clinical experience with a new videolaryngoscope (GlidescopeⓇ) in 728 patients" 52 : 191-198, 2005

10 Kang KC, "ED95 of esmolol for protection of tachycardia and systolic hypertension by endotracheal intubation in anesthetic induction with enflurane, nitrous oxide, thiopental and fentany" 36 : 225-231, 1999

11 Huang WT, "Clinical comparisons between Glidescope video laryngoscope and Trachlight in simulated cervical spine instability" 19 : 110-114, 2007

12 윤지환, "Bonfils Intubation Fibresocpe과 후두경을 이용한 기관내 삽관 시 혈압과 심박수 변화의 비교" 대한마취과학회 51 (51): 547-551, 2006

13 Ochroch EA, "Assessment of laryngeal view: percentage of glottic opening score vs Cormack and Lehane grading" 46 : 987-990, 1999

14 Kang KC, "Appropriate dose of esmolol for protection of tachycardia and hypertension by endotracheal intubation" 34 : 526-530, 1998

15 Gal TJ, "Airway management. In: Miller's Anesthesia. 6th" BElsevier Churchill Livingstone 1617-1652, 2005

16 Kim ST, "A small dose of fentanyl used prior to three minutes before intubation can reduce the incidence of hypertension and tachycardia" 37 : 769-775, 1999

17 McCoy EP, "A comparison of the stress response to laryngoscopy. The Macintosh versus the McCoy blade" 50 : 943-946, 1995

18 Park EJ, "A comparison of fentanyl, lidocaine and esmolol for blunting the hemodynamic response during rapid-sequence induction in the hemodynamically unstable patients" 35 : 50-57, 1998