British Journal of Anaesthesia, Vol 81, Issue 2 253-255, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
Y. Hirabayashi, M. Hiruta, T. Kawakami, S. Inoue, H. Fukuda, K. Saitoh and R. Shimizu
We compared the effects of the lightwand technique on circulatory responses
to tracheal intubation with those of direct-vision laryngoscopy. Forty
adult patients received propofol and vecuronium, and their lungs were
ventilated for 2 min via a mask with 5% sevoflurane in oxygen, after which
the trachea was intubated orally using either the lightwand (Trachlight, n
= 20) or the Macintosh laryngoscope (n = 20). Maximum mean arterial
pressure changes did not differ between groups during (lightwand group, 25
(SD 21) mm Hg vs laryngoscopy group, 23 (19) mm Hg) and after (21 (24) mm
Hg vs 21 (16) mm Hg) tracheal intubation. Maximum heart rate changes were
similar for groups during (16 (14) beat min-1 vs 16 (15) beat min-1) and
after (2 (11) beat min-1 vs 7 (19) beat min-1) tracheal intubation. There
were no differences between the lightwand technique and direct-vision
laryngoscopy in changes in mean arterial pressure and heart rate during and
after tracheal intubation. We conclude that the effects of the lightwand
technique on circulatory responses to tracheal intubation were similar to
those of direct-vision laryngoscopy.
SHORT COMMUNICATIONS
Effects of lightwand (Trachlight) compared with direct laryngoscopy on circulatory responses to tracheal intubation
Department of Anaesthesiology, Jichi Medical School, Tochigi, 329-04 Japan
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