Airway Management in the Intensive Care Unit

Jablonka, Denis H.; Rosenblatt, William H.

doi:10.1007/978-0-387-77893-8_2

Cited by 1 publication

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the most common measures in the Intensive Care Unit (ICU) is endotracheal intubation which plays a key role in airway management of critically ill patients. [ 1 2 3 ] Issues such as hemodynamic instability, hypoxemia, and acidosis in ICU patients indicate the need to maintain an adequate tracheal airway. [ 4 ] Poor physical condition of the patient, emergency intubation, and the use of drugs to induce anesthesia during intubation may cause a variety of complications in patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of intravenous and inhaled nebulized lignocaine on the hemodynamic response of endotracheal intubation patients: A randomized clinical trial

et al. 2018

View full text Add to dashboard Cite

Background:Endotracheal intubation is one of the most common measures in the Intensive Care Unit (ICU) which plays an important role in airway management of the critically ill patients.Aims:The study aimed to evaluate the effects of lignocaine spray on hemodynamic response of endotracheal intubation patients.Settings and Design:This study is a randomized clinical trial on a study population comprising patients admitted to the ICU.Subjects and Methods:The patients were divided into three groups using a permuted block randomization. In Group 1, inhaled nebulized lignocaine 4% (75.0 mg/kg) was sprayed around the patients’ epiglottis and larynx. In Group 2, intravenous (IV) lignocaine 2% (75.0/mg/kg) was injected. No lignocaine was prescribed for or administered to the control group. One and four minutes after intubation, the patients’ hemodynamic and vital signs were measured.Statistical Analysis Used:Data analysis was run using Stata 13 software through repeated measure ANOVA tests.Results:Although the mean arterial blood pressure (MAP) of Group 1 (inhaled nebulized lignocaine) was smaller than that of Group 2 (IV lignocaine), there was no significant difference between the two groups. Both groups’ MAPs were significantly different from that of the control group. As for the average number of pulses, a significant difference was observed between the inhaled and IV lignocaine groups; hence, the average number of pulses in Group 1 (inhalation) was lower than that of Group 2 (IV injection).Conclusion:As blood pressure is considered to be normal under 140/90 and may not entail any hemodynamic complications, it can be concluded that inhaled nebulized lignocaine can control the hemodynamic changes of intubation more effectively than IV lignocaine.

show abstract