Influence of Intratracheal Intubation Anesthesia Guided with Light Wand and Direct Laryngoscope on the Hemodynamics in Selective Operations of Elderly Patients
XIAN Xiao-gang
Department of Anesthesiology, Longchang People’s Hospital, Neijiang Sichuan 642150, China
Abstract:Objective To evaluate the influence of intratracheal intubation anesthesia guided with light wand and direct laryngoscope on the hemodynamics in selective operations of elderly patients. Methods 170 elderly patients who would undergo selective operations from October 2011 to October 2013 in our hospital were randomly divided into light wand group (n=85) and direct laryngoscope group (n=85). Hemorheology indexs and stress hormone levels of the patients in two groups were recorded at T0 (before anesthesia induction), T1 (after anesthesia induction), T2 (immediately after intubation) and T3 (1 min after intubation). The incidence rates of various complications in two groups were also analyzed and compared. Results The fluctuation of hemorheology indexes and stress hormone levels of light wand group were significantly lower than that of laryngoscope group (P<0.05). The once intubation success rate in light wand group was significantly higher than that of laryngoscope group (P<0.05). The intubation time of light wand group was significantly shorter than that of laryngoscope group (P<0.05). The incidence rates of various complications of light wand group were significantly lower than those of laryngoscope group (P<0.05). Conclusion Compared with intratracheal intubation anesthesia guided by direct laryngoscope, intratracheal intubation anesthesia guided by light wand with higher once intubation success rate, more stable hemodynamics, weaker stress response and fewer complications was worth to be promoted in clinic.
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XIAN Xiao-gang. Influence of Intratracheal Intubation Anesthesia Guided with Light Wand and Direct Laryngoscope on the Hemodynamics in Selective Operations of Elderly Patients. China Medical Devices, 2014, 29(6): 28-30.
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