The effect of tracheal intubation with the Levitan FPS scope or Macintosh larynogoscope on the arterial pressure and heart rate

Park, Sang Yong; Kim, Sang Tae; Shin, Young Duck

Clinical Research

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2010;5(2):125-129.
Published online April 30, 2010.

The effect of tracheal intubation with the Levitan FPS scope or Macintosh larynogoscope on the arterial pressure and heart rate

Sang Yong Park, Sang Tae Kim, Young Duck Shin

Department of Anesthesiology and Pain Medicine, School of Medicine, Chungbuk National University, Cheongju, Korea. kimst@chungbuk.ac.kr

Abstract

BACKGROUND
The hemodynamic changes associated with orotracheal intubation may result from direct laryngoscopy and the endotracheal intubation. This study was designed to compare the hemodynamic changes after the endotracheal intubation with either the Levitan FPS scope or Macintosh laryngoscope.
METHODS
Sixty patients, aged 20 to 60 years, were randomly allocated into two groups, the Levitan FPS scope group (LF group, n = 30) and the Macintosh group (M group, n = 30). The endotracheal intubation with the Levitan FPS scope or Macintosh blade was performed after inducing anesthesia. The heart rate and arterial pressure were measured before induction, just before intubation and at 1, 3 and 5 min after intubation.
RESULTS
There were no significant differences in the arterial pressure and heart rate responses to tracheal intubation with the Levitan FPS scope and the Macintosh laryngoscope. In both groups, the arterial pressures at 1 and 3 and 5 min after intubation were increased significantly compared with the preintubation values, and the heart rates at 1 and 3 min after intubation were increased significantly compared with the preintubation values.
CONCLUSIONS
The Levitan FPS scopic intubation does not attenuate the hemodynamic responses associated with endotracheal intubation compared with the Macintosh laryngoscopy.

Key Words: Endotracheal intubation, Hemodynamic changes, Laryngoscopy, Levitan FPS scope