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Canadian Journal of Anesthesia, Vol 25, 416-418, Copyright © 1978 by Canadian Anesthesiologists' Society

Blood Pressure and Pulse Rate Responses to Extubation with and without Prior Topical Tracheal Anaesthesia

ARUN V. BIDWAI M.D.1, THEODORE H. STANLEY M.D.2, and VANAMALA A. BIDWAI M.D.1

1 Departments of Anaesthesiology, The University of Utah College of Medicine, 50 North Medical Drive, Salt Lake City, Utah, 84132, and the Holy Cross Hospital, 1045 E. 100 South, Salt Lake City, Utah, 84102
2 Departments of Anaesthesiology/Surgery, The University of Utah College of Medicine, 50 North Medical Drive, Salt Lake City, Utah, 84132, and the Holy Cross Hospital, 1045 E. 100 South, Salt Lake City, Utah, 84102

The results of this study demonstrate that 60 mg of lidocaine sprayed down the tracheal tube before extubation and 40 mg sprayed down during tracheal tube removal prevents increases in blood pressure and pulse rate during and after extubation. The data suggest that this manoeuvre should be of advantage to patients with coronary artery disease who may not be able to tolerate the increased cardiac dynamics which usually accompany extubation.






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Copyright © 1978 by the Canadian Anesthesiologists' Society.