COMPARATIVE STUDY OF HEMODYNAMIC RESPONSE USING LARYNGEAL MASK AIRWAY (LMA) VERSUS ENDOTRACHEAL TUBE (ETT) IN CONTROLLED HYPERTENSION PATIENTS

Abstract

In the practical conduct of Anaesthesia, Airway management is crucial to the outcome & best patient care. A total of n=114 patients,30-50 yrs with mean age 38.736± 4.36 years; 57 each group of Laryngoscopy and ETT; and LMA group undergoing elective surgery of 30 minutes to 01-hour duration in controlled hypertensives were included in the study. The hemodynamic response was noted, recording pulse rate, Systolic BP, Diastolic BP, and MAP immediately after 1,3,5 minute of laryngoscopy & intubation or LMA insertion. The study results showed a hemodynamic response of 59.6% in patients of the Laryngoscopy & ETT group compared to 40.4% in the LMA group. The study revealed attenuated hemodynamic response to LMA insertion with improved hemodynamic; stability compared to laryngoscopy & intubation. The results advocate using supraglottic airway devices, especially LMA merits, in selected patients & circumstances.