A Bolus Dose of Esmolol Attenuates Tachycardia and Hypertension After Endotracheal Intubation

Sheppard, Shane; Eagle, Christopher; Strunin, L.

doi:10.1097/00132582-199010000-00021

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“…There was minimal increase in heart rate than the other group but the blood pressure showed a rise although it was less than other groups after laryngoscopy and endotracheal intubation. [ 15 ]…”

Section: Discussionmentioning

confidence: 99%

A comparative study of efficacy of esmolol and fentanyl for pressure attenuation during laryngoscopy and endotracheal intubation

Gupta

Tank

2011

Saudi J Anaesth

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Objective:To compare the effectiveness of single bolus dose of esmolol or fentanyl in attenuating the hemodynamic responses during laryngoscopy and endotracheal intubation.Methods:Ninety adult ASA I and ASA II patients were included in the study who underwent elective surgical procedures. Patients were divided into three groups. Group C (control) receiving 10 ml normal saline, group E (esmolol) receiving bolus dose of esmolol 2 mg/kg and group F (fentanyl) receiving bolus dose of fentanyl 2 µg/kg intravenously slowly. Study drug was injected 3 min before induction of anesthesia. Heart rate, systemic arterial pressure and ECG were recorded as baseline and after administration of study drug at intubation and 15 min thereafter.Results:Reading of heart rate, blood pressure and rate pressure product were compared with baseline and among each group. The rise in heart rate was minimal in esmolol group and was highly significant. Also the rate pressure product at the time of intubation was minimal and was statistically significant rate 15 min thereafter in group E.Conclusion:Esmolol 2 mg/kg as a bolus done proved to be effective in attenuating rises in heart rate following laryngoscopy and intubation while the rise in blood pressure was suppressed but not abolished by bolus dose of esmolol.

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Section: Discussionmentioning

confidence: 99%