ProSeal laryngeal mask airway and endotracheal tube in elderly hypertensive patients undergoing routine surgical procedures: A comparison of hemodynamic parameters

Waheed, Arfat; Hameed, Abdul; Bhat, Shakura; Patigaroo, Suhail Amin; Dar, Abdul Qayoom

doi:10.1016/j.jcgg.2013.02.004

Cited by 2 publications

(3 citation statements)

References 16 publications

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“…Our results are in accordance to Arfatet al 4 who noticed a exaggerated hemodynamic response in terms of increased PR and MAP, at 1, 3, 5 minute after induction.…”

Section: Discussionsupporting

confidence: 93%

“A Comparison of General Anaesthesia Techinques Using Proseal Laryngeal Mask Airway Or Endotracheal Tube, In Patients Undergoing Laproscopic Surgery”.

P.S¹,

Manish²,

Kumar³

et al. 2016

IOSR

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“…Our results are in accordance to Arfatet al 4 who noticed a exaggerated hemodynamic response in terms of increased PR and MAP, at 1, 3, 5 minute after induction.…”

Section: Discussionsupporting

confidence: 93%

“A Comparison of General Anaesthesia Techinques Using Proseal Laryngeal Mask Airway Or Endotracheal Tube, In Patients Undergoing Laproscopic Surgery”.

P.S¹,

Manish²,

Kumar³

et al. 2016

IOSR

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“…However, during extubation, blood pressure increased, and bradycardia decreased. Compared with a previous study [ 30 ], the use of dexmedetomidine in this study may have played a role in reducing the occurrence of tachycardia and lessening exaggerated hypertension associated with extubation.…”

Section: Discussionmentioning

confidence: 76%

“…Tracheal extubation is associated with increased hemodynamic changes, such as hypertension and tachycardia, in both younger and older patients [ 30 ]. In this study, based on the occurrence of at least 1 of the first 3 points (dexmedetomidine starting point, dexmedetomidine stopping point, sevoflurane stopping point), hypertension was observed in 7 (15.9%), hypotension in 10 (22.7%), and bradycardia in 24 (54.5%), whereas tachycardia was observed in only 1 patient (2.3%).…”

Section: Discussionmentioning

confidence: 99%

Determining the Optimal Dosage of Dexmedetomidine for Smooth Emergence in Older Patients Undergoing Spinal Surgery: A Study of 44 Cases

Ahn,

Chae,

Choi

et al. 2024

Med Sci Monit

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Background:Emergence agitation, or delirium, occurs during early recovery from general anesthesia and involves disorientation, excitation, and uncontrolled physical movements. Dexmedetomidine is an alpha agonist that has sedative, anxiolytic, analgesic, and sympatholytic activities and is used as a continuous infusion to prevent emergence agitation. This study aimed to evaluate patients aged 65 years and older undergoing general anesthesia to determine the 90% effective dose (ED 90 ) of dexmedetomidine continuous intraoperative infusion to prevent emergence agitation. Material/Methods:We enrolled 44 patients aged 65 years and older undergoing spinal surgery under general anesthesia. Dexmedetomidine administration commenced 30 minutes before surgery completion, with a predetermined infusion dose (μg/kg/h), without a loading dose. The initial dose was 0.2 μg/kg/h, and subsequent step size was ±0.05 μg/kg/h. We tried to find ED 90 of dexmedetomidine using the biased-coin design. Vital signs, extubation quality scores, extubation-related complications, and postoperative outcomes were monitored. Results:Dexmedetomidine ED 90 for smooth emergence in older patients was 0.34 μg/kg/h. Peri-extubation vital signs remained within 20% of baseline values, without requiring pharmacological intervention. No hypoxia, hypoventilation, or post-extubation agitation occurred. In the recovery room, 1 patient briefly exhibited excitement but quickly calmed. Nine patients initially unresponsive in the recovery room fully awoke and were promptly discharged. Conclusions:For older patients who are vulnerable to adverse effects of anesthetics and opioids, dexmedetomidine enables gentle awakening without adverse vital sign changes, respiratory depression, excessive sedation, or emergence agitation (ED 90 =0.34 μg/kg/h). Further studies should involve a larger patient cohort, considering diverse medical conditions in older individuals.

show abstract

ProSeal laryngeal mask airway and endotracheal tube in elderly hypertensive patients undergoing routine surgical procedures: A comparison of hemodynamic parameters

Cited by 2 publications

References 16 publications

“A Comparison of General Anaesthesia Techinques Using Proseal Laryngeal Mask Airway Or Endotracheal Tube, In Patients Undergoing Laproscopic Surgery”.

“A Comparison of General Anaesthesia Techinques Using Proseal Laryngeal Mask Airway Or Endotracheal Tube, In Patients Undergoing Laproscopic Surgery”.

Determining the Optimal Dosage of Dexmedetomidine for Smooth Emergence in Older Patients Undergoing Spinal Surgery: A Study of 44 Cases

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