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Original Article



Comparison of the effects of direct laryngoscopic and fiberoptic oral endotracheal intubation on the intraocular pressures of non-ophthalmic patients: A prospective, randomised, clinical trial

Sait Yıldırım,Ahmet Selim Ozkan,Sedat Akbas,Nihat Polat,Kayhan Mutlu,Erol Karaaslan,Mahmut Durmus.




Abstract
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Aim: In this prospective, randomised, clinical study; we aimed to compare the effects of endotracheal intubation (ETI) via direct laryngoscope (DLS) and fiberoptic bronchoscope (FOB) on intraocular pressure (IOP) and haemodynamic data of non-ophthalmic patients.
Methods: Fifty four adult patients undergoing non-opthalmic surgeries performed in the supin position under general anesthesia requiring orotracheal intubation were included into the study. The patients were randomly and prospectively divided into 2 groups; Group DLS (n=27) and Group FOB (n=27). Mean arterial pressure (MAP), Heart rate (HR), IOP were measured at before induction (basal), post-induction and 1st, 2nd, 3rd and 5th minutes of intubation.
Results: There was no statistically significant difference in distirubiton of patient characteristics. Duration of intubation was significantly longer in
Group FOB (p

Key words: direct laryngoscope, fiberoptic bronchoscope, intraocular pressure, hemodynamics






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