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THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS

Yıl 2000, Cilt: 13 Sayı: 1, 15 - 18, 03.12.2016

Binnaz Ay Zeynep Eti Serdar Fak Tümay Umuroğlu Yılmaz Göğüş

Öz

effects of endotracheal intubation and laryngeal mask airway (LMA) insertion on the risk of myocardial ischemia in patients with coronary artery disease (CAD) and/or congestive heart failure (CHF).
Methods: Thirty patients, ASA lll-IV, having CAD and/or CHF, undergoing elective peripheral surgery (orthopaedic, urologic, ear-nose and throat and ophthalmologic surgery) were investigated. Anesthesia was induced with 0.2 mg/kg etomidate, 15pg/kg alfentanil and 0.1 mg/kg vecuronium i.v. in all patients. In group I the patients were intubated, in group II LMA was inserted for maintenance of airway. Mean arterial pressure (MAP), heart rate (HR), rate pressure product (RPP), and ST segmet changes were recorded. Postoperatively 12 lead electrocardiography and CPK, CPK-MB levels were also recorded.
Results: MAP and RPP increased significantly 1 min after intubation in group I, there was no difference in MAP and RPP and a significant decrease in HR in group II. ST segment changes indicated ischemia were recorded 15 times in 6 patients in group I and 4 times in 3 patients in group II.
Conclusion: Unless contraindicated, airway
maintenance by LMA should be preferred in patients with CAD in order to protect myocardial perfusion.
Key Words: Laryngeal mask airway,
endotracheal intubation, myocardial ischemia

Kaynakça

  • Mangano DT, Perioperative cardiac morbidity. Anesthesiology 1990/72:153-184.
  • Roy WL, Edelist G. Myocardial ischemia during noncardiac surgical procedures in patients with coronary artery disease. Anesthesiology 1979;51:393-397.
  • London MJ, Flallenberg M. Intraoperative myocardial ischemia: Localization by continuous 12-lead electrocardiography. Anesthesioolgy 1988/69:232-241.
  • Coriat P, Daloz M. Prevention of intraoperative myocardial ischemia during non-cardiac surgery
  • with intravenous nitroglycerin. Anesthesiology 1984/61:193-196.
  • Spencer L, Randall RC. Epidural anesthesia and analgesia. Anesthesiology 1995/82:1474-1506.
  • Fleischer LA. Ischemic heart disease.
  • Anesthesiology Clinics of north America
  • /15:49-67.
  • Collins VJ. Endotracheal anesthesia: Complications. In: Principles of Anesthesiology. Collins VJ. 3rd ed. Pennsylvania: Lea and Febriger 1993/565-596.
  • Carliner ntt, Fisher ML. Routine preoperative exercise testing in patients undergoing major noncardiac surgery. Am J Cardiol 1985/56:51-57.
  • Tyers MR, Russel WJ. Electrocardiographic monitoring in anesthesia. Anesth Intens Care 1988/16:66-69.
  • Slogoff S, Keats /4S. Does perioperative myocardial ischemia lead to postoperative myocardial infarction? Anesthesiology 1985/62:107-1 14.
  • Flam's CE, Murray JM. Effects of thiopentone, etomidate and propofol on the hemodynamic response to tracheal intubation. Anaesthesia 1988/43:32-36.
  • Mikawe K, Ikegaki J. The effect of diltiazem on the cardiovascular response to tracheal intubation. Anaesthesia 1990/45:289-293.
  • Black TE, Kay B. Reducing the hemodynamic response to laryngoscopy and intubation. Anaesthesia 1984/39:883-887.
  • Crawford DC, Fell D. Effects of alfentanil on the pressor and catecholamine responses to tracheal intubation. Br J Anaesth 1987/59:707-712.
  • Miller DR, Martineau RJ. Effects of alfenanil on the hemodynamic and catecholamine response to tracheal intubation. Anesth Anaig 1993/76:1040- 1046.
  • Flicks FiJ, Mowbray A. Cardiovascular effects and catecholamine response to high dose fentanyl-02 for induction of anaesthesia in patients with ischemic coronary-artery disease. Anesth Anaig 1981/60:563-568.
  • Shafer SL, Varvel JR. Pharmacokinetics, pharmacodynamics and rational opioid selection. Anesthesiology 1981; 74:53-63.
  • Wilson IG, Fell D. Cardiovascular responses to insertion of the laryngeal mask. Anaesthesia 1992/47:300-302.
  • Braude FI, Clements AF. The pressure response and laryngeal mask insertion. Anaesthesia 1990/44:551 -554.
  • Ray TK, Jacobs KFI. Reinfarction following anesthesia in patients with myocardial infarction. Anesthesiology 1983/59:499-505.

Yıl 2000, Cilt: 13 Sayı: 1, 15 - 18, 03.12.2016

Binnaz Ay Zeynep Eti Serdar Fak Tümay Umuroğlu Yılmaz Göğüş

Öz

Kaynakça

  • Mangano DT, Perioperative cardiac morbidity. Anesthesiology 1990/72:153-184.
  • Roy WL, Edelist G. Myocardial ischemia during noncardiac surgical procedures in patients with coronary artery disease. Anesthesiology 1979;51:393-397.
  • London MJ, Flallenberg M. Intraoperative myocardial ischemia: Localization by continuous 12-lead electrocardiography. Anesthesioolgy 1988/69:232-241.
  • Coriat P, Daloz M. Prevention of intraoperative myocardial ischemia during non-cardiac surgery
  • with intravenous nitroglycerin. Anesthesiology 1984/61:193-196.
  • Spencer L, Randall RC. Epidural anesthesia and analgesia. Anesthesiology 1995/82:1474-1506.
  • Fleischer LA. Ischemic heart disease.
  • Anesthesiology Clinics of north America
  • /15:49-67.
  • Collins VJ. Endotracheal anesthesia: Complications. In: Principles of Anesthesiology. Collins VJ. 3rd ed. Pennsylvania: Lea and Febriger 1993/565-596.
  • Carliner ntt, Fisher ML. Routine preoperative exercise testing in patients undergoing major noncardiac surgery. Am J Cardiol 1985/56:51-57.
  • Tyers MR, Russel WJ. Electrocardiographic monitoring in anesthesia. Anesth Intens Care 1988/16:66-69.
  • Slogoff S, Keats /4S. Does perioperative myocardial ischemia lead to postoperative myocardial infarction? Anesthesiology 1985/62:107-1 14.
  • Flam's CE, Murray JM. Effects of thiopentone, etomidate and propofol on the hemodynamic response to tracheal intubation. Anaesthesia 1988/43:32-36.
  • Mikawe K, Ikegaki J. The effect of diltiazem on the cardiovascular response to tracheal intubation. Anaesthesia 1990/45:289-293.
  • Black TE, Kay B. Reducing the hemodynamic response to laryngoscopy and intubation. Anaesthesia 1984/39:883-887.
  • Crawford DC, Fell D. Effects of alfentanil on the pressor and catecholamine responses to tracheal intubation. Br J Anaesth 1987/59:707-712.
  • Miller DR, Martineau RJ. Effects of alfenanil on the hemodynamic and catecholamine response to tracheal intubation. Anesth Anaig 1993/76:1040- 1046.
  • Flicks FiJ, Mowbray A. Cardiovascular effects and catecholamine response to high dose fentanyl-02 for induction of anaesthesia in patients with ischemic coronary-artery disease. Anesth Anaig 1981/60:563-568.
  • Shafer SL, Varvel JR. Pharmacokinetics, pharmacodynamics and rational opioid selection. Anesthesiology 1981; 74:53-63.
  • Wilson IG, Fell D. Cardiovascular responses to insertion of the laryngeal mask. Anaesthesia 1992/47:300-302.
  • Braude FI, Clements AF. The pressure response and laryngeal mask insertion. Anaesthesia 1990/44:551 -554.
  • Ray TK, Jacobs KFI. Reinfarction following anesthesia in patients with myocardial infarction. Anesthesiology 1983/59:499-505.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Bölüm Original Research
Yazarlar

Binnaz Ay Bu kişi benim

Zeynep Eti Bu kişi benim

Serdar Fak Bu kişi benim

Tümay Umuroğlu Bu kişi benim

Yılmaz Göğüş Bu kişi benim

Yayımlanma Tarihi 3 Aralık 2016
Yayımlandığı Sayı Yıl 2000 Cilt: 13 Sayı: 1

Kaynak Göster

APA Ay, B., Eti, Z., Fak, S., Umuroğlu, T., vd. (2016). THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS. Marmara Medical Journal, 13(1), 15-18.
AMA Ay B, Eti Z, Fak S, Umuroğlu T, Göğüş Y. THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS. Marmara Med J. Haziran 2016;13(1):15-18.
Chicago Ay, Binnaz, Zeynep Eti, Serdar Fak, Tümay Umuroğlu, ve Yılmaz Göğüş. “THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS”. Marmara Medical Journal 13, sy. 1 (Haziran 2016): 15-18.
EndNote Ay B, Eti Z, Fak S, Umuroğlu T, Göğüş Y (01 Haziran 2016) THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS. Marmara Medical Journal 13 1 15–18.
IEEE B. Ay, Z. Eti, S. Fak, T. Umuroğlu, ve Y. Göğüş, “THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS”, Marmara Med J, c. 13, sy. 1, ss. 15–18, 2016.
ISNAD Ay, Binnaz vd. “THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS”. Marmara Medical Journal 13/1 (Haziran 2016), 15-18.
JAMA Ay B, Eti Z, Fak S, Umuroğlu T, Göğüş Y. THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS. Marmara Med J. 2016;13:15–18.
MLA Ay, Binnaz vd. “THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS”. Marmara Medical Journal, c. 13, sy. 1, 2016, ss. 15-18.
Vancouver Ay B, Eti Z, Fak S, Umuroğlu T, Göğüş Y. THE EFFECTS OF ENDOTRACHEAL INTUBATION AND LARYNGEAL MASK AIRWAY ON THE RISK OF MYOCARDIAL ISCHEMIA IN CARDIAC PATIENTS. Marmara Med J. 2016;13(1):15-8.