1. Comparison of Fentanyl and Clonidine for Attenuation of the Haemodynamic Response to Laryngocopy and Endotracheal Intubation
- Author
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Sameenakousar, Mahesh, and K.V. Srinivasan
- Subjects
haemodynamic response ,laryngoscopy ,intubation ,hr- heart rate ,sbp - systolic blood pressure ,dbp - diastolic blood pressure ,map - mean arterial pressure ,Medicine - Abstract
ABSTRACT Introduction: Laryngoscopy and tracheal intubation after the induction of anaesthesia, are nearly always associated with a sympathetic hyperactivity. To ‘blunt’ this pressor response, various methods have been tried, but very few studies have been done to assess the effects of fentanyl orI.V. clonidine on the haemodynamic response during laryngoscopy and tracheal intubation. The purpose of this study was to compare these agents, to find the drug which was best suited for this purpose and the most favourable time for its administration. Methods: This was a prospective study which involved 3 groups of patients. The patients in group-1 (control) were given normal saline and the groups 2 and 3 were given i.v. fentanyl and clonidine respectively. Each group had 50 patients who presented for elective, non-cardiovascular surgeries. All the patients were ASA-1 or ASA-II and were operated in PESIMSR, Kuppam. Results: The heart rate rise was 48.07% in the control group, whereas it was significantly lower in the fentanyl (II) 27.75% and the clonidine groups (III) 12.57% (p
- Published
- 2013
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