Effect of intravenous lidocaine on heart rate, systolic arterial blood pressure and cough responses to endotracheal intubation in propofol-anaesthetized dogs

2007 ◽  
Vol 34 (5) ◽  
pp. 322-330 ◽  
Author(s):  
Colette T Jolliffe ◽  
Elizabeth A Leece ◽  
Vicki Adams ◽  
David J Marlin
2016 ◽  
pp. 5-11
Author(s):  
Thi Thu Lanh Tran ◽  
Kha Canh Ho ◽  
Van Minh Nguyen

Background: Hyperhidrosis is frenquently present in young people, caused much trouble in daily life, especially in communication. Thoracoscopic sympathectomy is an effective and safe method to treat palmar hyperhidrosis. Previously, the double - lumen tube was used. This method was too complex, expensive, accompanied pulmonary injury. We applied anesthesia with single - lumen endotracheal intubation and intrathoracic CO2 insufflation in supine position for thoracoscopic sympathectomy. The objective of this study was to evaluate the result of anesthesia and change of heart rate, arterial blood pressure, the respiration and complication. Methods: A prospective study was realized on 43 patients diagnosed palmar hyperhidrosis, and performed thoracic sympathectomy for the treatment of palmar hyperhidrosis. Patients in supine position were carried out anesthesia with the single - lumen endotracheal intubation and intrathoracic CO2 insufflation at a rate 0.5 - 1 L.min-1, sustained intrathoracic pressure at 5 - 6mmHg insufflation. All the patients were evaluated: heart rate, arterial blood pressure, saturation of peripheral oxygen (SpO­2), end-tidal carbon dioxide (EtCO2), peak airway pressure, surgery time for each lung, the complication of surgery and anesthesia, hospital stay. Results: General anesthesia with single - lumen endotracheal intubation, and intrathoracic CO2 insufflation for treating palmar hyperhidrosis was performed successfully in all patients supine position semi Fowler with the mean age 21.28 ± 5.65 (min 11 age - max 42 age), heart rate, arterial blood pressure and respiratory stability during surgery and anesthesia. SpO2 was over 98%, mean hospital stay was 2.84 ± 0.43 days (range 2- 4days). Conclusions: Anesthesia with single - lumen endotracheal intubation and intrathoracic CO2 insufflation in supine position for thoracoscopic sympathectomy was the method that provided good surgery condition, guaranteed intraoperatively heart rate, arterial blood pressure and respiratory stability. This was an effective, safe method. Key words: Single-lumen endotracheal intubation, double-lumen endotracheal tube, thoracoscopic sympathectomy


1988 ◽  
Vol 69 (2) ◽  
pp. 269-271 ◽  
Author(s):  
ROBERT G. KNIGHT ◽  
TIMOTHY CASTRO ◽  
ALLEN J. RASTRELLI ◽  
STUART MASCHKE ◽  
JOHN A. SCAVONE

1996 ◽  
Vol 91 (s1) ◽  
pp. 37-39 ◽  
Author(s):  
Stefano Guzzetti ◽  
Chiara Cogliati ◽  
Silvia Mezzetti ◽  
Maurizio Turiel ◽  
Federico Lombardi ◽  
...  

1996 ◽  
Vol 31 (4) ◽  
pp. 442
Author(s):  
Jun Goo Lim ◽  
Hee Sung Yang ◽  
Young Choo Kim ◽  
Suk Bong Dun ◽  
Chang Kyu Shin

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Pouran Hajian ◽  
Shabnaz Sharifi ◽  
Mahshid Nikooseresht ◽  
Abbas Moradi

Background. Hemodynamic responses to laryngoscopy and endotracheal intubation are transient in most patients. However, in some patients with a history of heart disease, systemic hypertension, or cerebrovascular disease, these may lead to dangerous complications. This study is aimed at determining the effectiveness of intravenous nitroglycerin bolus doses in reducing hemodynamic responses to laryngoscopy and endotracheal intubation. Material and Method. In this double-blind randomized controlled trial, 78 patients aged 18 to 65 years were randomly divided into three groups: 1 μg/kg dose of nitroglycerin (first group), 2 μg/kg dose of nitroglycerin (second group), and normal saline or placebo (third group). 26 samples were allocated for each group. Patients’ hemodynamic responses to laryngoscopy and endotracheal intubation were measured at different times. Data were analyzed using SPSS V 16. Results. Patients in the three study groups were similar in terms of age, sex, and weight. There was no significant difference between the mean saturation of peripheral oxygen (SPO2) and the mean heart rate between the three groups before endotracheal intubation and 1 to 10 minutes after intubation ( P > 0.05 ). The difference of mean arterial blood pressure between study groups was only significant in the first and fifth minutes after intubation. Mean systolic and diastolic blood pressure in the first, third, and fifth minutes after intubation was significantly lower in the intervention groups than the control group ( P < 0.05 ). However, no significant difference was observed between the intervention groups. The frequency of systolic blood pressure decrease was significantly different in the first and fifth minutes after intubation in the three study groups ( P < 0.05 ). Conclusion. Bolus doses of 1 and 2 μg/kg nitroglycerin in noncardiac elective surgery prevents the increase of mean systolic, diastolic, and arterial blood pressure but has no significant effect on heart rate after intubation.


2014 ◽  
Vol 63 (6) ◽  
pp. 435-438 ◽  
Author(s):  
Kunihiko Tanaka ◽  
Shiori Tokumiya ◽  
Yumiko Ishihara ◽  
Yumiko Kohira ◽  
Tetsuro Katafuchi

2003 ◽  
Vol 98 (6) ◽  
pp. 1338-1344 ◽  
Author(s):  
Gilles Boccara ◽  
Alexandre Ouattara ◽  
Gilles Godet ◽  
Eric Dufresne ◽  
Michèle Bertrand ◽  
...  

Background Terlipressin, a precursor that is metabolized to lysine-vasopressin, has been proposed as a drug for treatment of intraoperative arterial hypotension refractory to ephedrine in patients who have received long-term treatment with renin-angiotensin system inhibitors. The authors compared the effectiveness of terlipressin and norepinephrine to correct hypotension in these patients. Methods Among 42 patients scheduled for elective carotid endarterectomy, 20 had arterial hypotension following general anesthesia that was refractory to ephedrine. These patients were the basis of the study. After randomization, they received either 1 mg intravenous terlipressin (n = 10) or norepinephrine infusion (n = 10). Beat-by-beat recordings of systolic arterial blood pressure and heart rate were stored on a computer. The intraoperative maximum and minimum values of blood pressure and heart rate, and the time spent with systolic arterial blood pressure below 90 mmHg and above 160 mmHg, were used as indices of hemodynamic stability. Data are expressed as median (95% confidence interval). Results Terlipressin and norepinephrine corrected arterial hypotension in all cases. However, time spent with systolic arterial blood pressure below 90 mmHg was less in the terlipressin group (0 s [0-120 s] vs. 510 s [120-1011 s]; P &lt; 0.001). Nonresponse to treatment (defined as three boluses of terlipressin or three changes in norepinephrine infusion) occurred in zero and eight cases (P &lt; 0.05), respectively. Conclusions In patients who received long-term treatment with renin-angiotensin system inhibitors, intraoperative refractory arterial hypotension was corrected with both terlipressin and norepinephrine. However, terlipressin was more rapidly effective for maintaining normal systolic arterial blood pressure during general anesthesia.


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