COMPARISION OF HAEMODYNAMIC RESPONSE IN CONVENTIONAL TRACHEAL EXTUBATION AND BAILEY MANOEUVRE USING LMA PROSEAL IN CONTROLLED HYPERTENSIVE PATIENTS: A RANDOMIZED CONTROL TRIAL

Dr Archna Agarwal; Dr Trilok Chand; Dr Sandeep Mangla

Volume : VII, Issue : II, February - 2018

COMPARISION OF HAEMODYNAMIC RESPONSE IN CONVENTIONAL TRACHEAL EXTUBATION AND BAILEY MANOEUVRE USING LMA PROSEAL IN CONTROLLED HYPERTENSIVE PATIENTS: A RANDOMIZED CONTROL TRIAL

Dr Archna Agarwal, Dr Trilok Chand, Dr Sandeep Mangla

Abstract :

AIM AND METHOD

Main aim of the study was to compare haemodynamic responses to the conventional tracheal extubation. and to removal of Proseal Laryngeal mask airway (LMA-Proseal) following Bailey manoeuvre

This randomised single blind controlled trial was conducted on 100 known controlled hypertensive patients of age group 18 – 60 yrs. of ASA grade 11 requiring endotracheal intubation for elective surgery. Group I (G_ET) – Conventional tracheal extubation technique - 50 patients Group II (G_PL) – LMA removal following �Bailey manoeuvre� (ETT/LMA exchange)- 50 patients. The baseline values of HR, BP, MAP, ECG, SPO2, was recorded and compared with values at the time of extubation and post extubation for 10 mins.

RESULT –

We observed less fluctuations in mean SBP, DBP, MAP, HR using bailey�s manoeuvre as compared to conventional tracheal extubation. There was less incidence of coughing , bucking, tube biting, laryngospasm, desaturation using LMA - proseal for bailey�s manoeuvre

CONCLUSION – Bailey�s manoeuvre using LMA- Proseal is safer and associated with less hemodynamic and respiratory complications.