HDSRHoogheemraadschap De Stichtse Rijnlanden (Netherlands)
HDSRHuman Development and Social Relations (major)
HDSRHazardous Discharge Site Remediation (environmental protection)
HDSRHistorical Data Storage and Retrieval
HDSRHasegawa's Dementia Scale-Revised (neurology)
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References in periodicals archive ?
Conclusion: There was no difference in HDSR due to ET intubation using either GLS or FFB in healthy adult patients with normal airway.
Manipulation of the airway during endotracheal (ET) intubation leads to stimulation of pharyngeal and tracheolaryngeal nociceptors resulting in hemodynamic stress response (HDSR)1 which can be deleterious in patients with poor cardiac reserves2 or having other comorbidities.3 The magnitude of the HDSR is variable and proportional to the amount of force applied during visualization of the glottis4 and the degree of tracheolaryngeal manipulation during advancement of ET into the trachea.5
There is some equipment available for ET intubation in which indirect laryngoscopy is used and application of upward and forward force is not required during visualization of the glottis and requires variable degree of airway manipulation during advancement of the ET tube.6-9 Glidescope (GLS) and flexible fiberoptic bronchoscope (FFB) are two novel instruments requiring minimum to no force during visualization of the glottis and provide an improved view.10 However literature shows conflicting results regarding the magnitude of said HDSR induced during ET intubation using GLS in comparison with FFB.11-13 The objective of our prospective rand- omized study was to compare the HDSR during ET intubation using GLS and FFB in our setting.
In this study we did not find any significant difference in HDSR using either GLS or FFB.