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

Gupta S, Tank P - Saudi J Anaesth (2011)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, Medical College, Jamnagar, Gujarat, India.

ABSTRACT

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.

No MeSH data available.


Graph showing comprehensive changes in mean arterial pressure
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Related In: Results  -  Collection

License
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Figure 0003: Graph showing comprehensive changes in mean arterial pressure

Mentions: Table 2 shows change in mean pulse rate and mean arterial pressure and Table 3 shows in rate pressure product, in all three groups compared with their respective preinduction value at different stages [Figures 1–3].


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

Gupta S, Tank P - Saudi J Anaesth (2011)

Graph showing comprehensive changes in mean arterial pressure
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3101748&req=5

Figure 0003: Graph showing comprehensive changes in mean arterial pressure
Mentions: Table 2 shows change in mean pulse rate and mean arterial pressure and Table 3 shows in rate pressure product, in all three groups compared with their respective preinduction value at different stages [Figures 1–3].

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, Medical College, Jamnagar, Gujarat, India.

ABSTRACT

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.

No MeSH data available.