Reducing the haemodynamic responses to laryngoscopy and intubation.

Black, Thomas K. Iii; Healy, T.E.J.

doi:10.1111/j.1365-2044.1983.tb06575.x

Cited by 26 publications

(32 citation statements)

References 8 publications

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“…Some authors maintain that better control of the adrenergic response to LTI could be achieved with a combination of a beta‐blocking agent together with low doses of an opiate (19, 21, 83, 89). The efficacy of opiates per se in blocking cardiovascular responses to LTI, principally in the control of BP, has been demonstrated by several studies (19, 23, 90, 91). Hence, the administration of opiates (in others than the study groups) in trials in which the haemodynamic responses to LTI were evaluated constitute a bias and should be questioned.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the efficacy of esmolol on the haemodynamic changes induced by laryngoscopy and tracheal intubation: A meta‐analysis

Figueredo

Garcia-Fuentes

2001

Acta Anaesthesiol Scand

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Section: Discussionmentioning

confidence: 99%

Assessment of the efficacy of esmolol on the haemodynamic changes induced by laryngoscopy and tracheal intubation: A meta‐analysis

Figueredo

Garcia-Fuentes

2001

Acta Anaesthesiol Scand

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“…The sequence of induction o f anaesthesia, laryngoscopy and tracheal intubation are associated with marked haemodynamic changes and autonomic reflex activity which may be a cause of concern in preeclampsia patients. 6 Laryngoscopy and intubation is associated with rise in heart rate, blood pressure and occurence of cardiac arrhythmias. These potentially dangerous changes disappear within 5 minutes of onset of laryngoscopy.…”

Section: Discussionmentioning

confidence: 99%

Attenuation of sympathetic pressor responses to laryngoscopy and intubation in patients with preeclampsia: Comparison between IV lignocaine and IV lignocaine with labetalol

2020

IJCA

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Introduction: tracheal intubation and laryngoscopy are invariably associated with reflex sympathetic pressor responses resulting in elevated HR & BP. This may prove detrimental in preeclampsia patients. Objectives: To compare the efficacy of adding labetalol 0.5mg/kg IV to lignocaine 1.5mg/kg IV for attenuating increases in HR,SBP,DBP and MAP during laryngoscopy and intubation under general anaesthesia in parturients with preeclampsia posted for LSCS and to study the incident of any side effects. Materials and Methods: 60 patients with mild PIH presenting for LSCS, either elective or emergency, under GA were studied and randomly allocated to one of the two groups of 30 patients each. All patients were premedicated with inj glycopyrrolate 0.01mg/kg IV, inj fentanyl 1 µg/kg along with study drug labetalol 0.5mg/kg given 5minutes before laryngoscopy and intubation. Patients were induced with thiopentone 5mg/kg IV and succinylcholine 2mg/kg IV, preservative free lignocaine 1.5mg/kg IV given 2minutes before intubation. HR, SBP, DBP were recorded before and after intubation, at 1 st , 3rd, 5 th and 10 th minutes. Results: Rise in the HR,SBP,DBP,MAP were observed in both the groups at one minute following laryngoscopy and intubation and these responses persisted for about 3 minutes after which they returned towards basal values and below the baseline in case of group 1(labetalol with lignocaine) compared to group 2(lignocaine) in preeclampsia. Conclusions: Adding labetalol 0.5mg/kg IV to lignocaine 1.5mg/kg IV is effective in further attenuation of haemodynamic response to laryngoscopy and intubation in preeclampsia patients.

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“…Gute Ergebnisse werden mit 0,2-0,s mg Fentanyl erzielt (2,6,9,19). Die relativ hohen Dosen, die zur vollständigen Blockade für notwendig erachtet werden, haben jedoch Nachteile, die vor allem die Atmung betreffen.…”

Section: Materials Und Methodeunclassified

“…Die Mehrzahl der Untersucher findet den maximalen Noradreanlinspiegel im Plasma eine Minute nach der Intubation. Nachdem bereits in mehreren Studien die Dämpfung der sympathoadrenergen Reaktion bei der Laryngoskopie durch die Gabe von Fentanyl beschrieben wurde (2,6,9,20), sollte nun geklärt werden, ob mit dem kürzer wirkenden Opioid Alfentanil vergleichbare Ergebnisse erzielt werden.…”

Section: Zusammenfassungunclassified

Der Einfluß unterschiedlicher Alfentanildosen auf Blutdruck, Herzfrequenz und Plasmakatecholaminspiegel bei der endotrachealen Intubation

Tolksdorf¹,

Kollmann²,

Simon³

et al. 1990

Anästhesiol Intensivmed Notfallmed Schmerzther

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Reducing the haemodynamic responses to laryngoscopy and intubation.

Cited by 26 publications

References 8 publications

Assessment of the efficacy of esmolol on the haemodynamic changes induced by laryngoscopy and tracheal intubation: A meta‐analysis

Assessment of the efficacy of esmolol on the haemodynamic changes induced by laryngoscopy and tracheal intubation: A meta‐analysis

Attenuation of sympathetic pressor responses to laryngoscopy and intubation in patients with preeclampsia: Comparison between IV lignocaine and IV lignocaine with labetalol

Der Einfluß unterschiedlicher Alfentanildosen auf Blutdruck, Herzfrequenz und Plasmakatecholaminspiegel bei der endotrachealen Intubation

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