Premium
Intra‐ocular pressure and haemodynamic changes after tracheal intubation and extubation: a comparative study in glaucomatous and nonglaucomatous children
Author(s) -
Madan R.,
Tamilselvan P.,
Sadhasivam S.,
Shende D.,
Gupta V.,
Kaul H. L.
Publication year - 2000
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2000.01213.x
Subject(s) - medicine , intubation , anesthesia , tracheal intubation , glaucoma , intraocular pressure , hemodynamics , blood pressure , heart rate , surgery , ophthalmology
This prospective, controlled study was conducted to compare the effects of tracheal intubation and extubation on intra‐ocular pressure changes and haemodynamic parameters in paediatric patients with and without glaucoma. The children were scheduled for intra‐ocular surgery. Twenty children with normal intra‐ocular pressure and 15 with glaucoma were studied. A standardised general anaesthetic was administered to both groups. After 5 min of anaesthesia, intra‐ocular pressure, heart rate and noninvasive blood pressure were measured. These measurements were repeated 30 s and 2 min after tracheal intubation. Further measurements were taken before, and 30 s and 2 min after extubation. The increase in intra‐ocular pressure after intubation was greater in the glaucomatous group than in the normal group. The increase in intra‐ocular pressure was greater after extubation than intubation in both groups, but was similar in the two groups. However, because of the already increased intra‐ocular pressure in glaucomatous children, they may be at an increased risk of visual damage after intubation and extubation.