Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Avoidance of heamodynamic changes in hypertensive patients receiving general anesthesia is a goal including patients undergoing abdominoplasty surgery.
OBJECTIVE:
To compare haemodynamic responses to use of a classic laryngeal
mask airway (LMA) versus endotracheal tube (ETT) in hypertensive females undergoing abdominoplasty surgery.
PATIENT AND METHODS:
Place and Duration of study: Al-Amaal private hospital from march. 2012 to march 2014.
Fifty hypertensive female patient undergoing abdominoplasty surgery were randomly distrusted into two equal groups using alternate patient technique endotracheal tube( ETT ) and laryngeal mask airway (LMA) ( n=25 each). Patients in both groups were received general anaesthesia using standard anesthetic technique.
Patients in ETT group underwent laryngoscopy and ETT intubation, whereas patients in LMA group received LMA without laryngoscopy for their airway maintenance. Haemodynamic variables, (pulse, systolic, diastolic and mean arterial pressures) were measured using non-invasive monitoring technique at various intervals before and after intubation or LMA placement , before and after extubation or LMA removal.
CONCLUSION:
Laryngeal mask airway provide more stable heamodynaics parameter than endotracheal tube during incertion and removal in hypertensive patients receving general anesthesia for abdominoplasty surgery.