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Canadian Journal of Anesthesia, Vol 32, 651-653, Copyright © 1985 by Canadian Anesthesiologists' Society

Cardiovascular Responses to the Insertion of Nasogastric Tubes During General Anaesthesia

A. FASSOULAKI MD1 and E. ATHANASSIOU MD1

1 Department of Anaesthetics, St. Savas Hospital, Athens, Greece

Address correspondence to: Dr. A. Fassoulaki, 57-59 Raftopoulou Street, Athens 11744, Greece.

Eighty female patients free of cardiovascular disease who were having excision of breast lesions were randomly allocated to one of two groups. In the first group a nasogastric tube was inserted blindly during the surgical procedure, while in the second group the tube was inserted under direct laryngoscopy, using Magill forceps. Both groups exhibited a significant increase in systolic blood pressure (SBP) (p < 0.001) and heart rate (HR) (p < 0.005). These increases declined during the following 3 minutes. Ventricular extrasystoles (more than 5 during the 3 min following the insertion of the nasogastric tube) occurred only in the group having the nasogastric tube with the aid of laryngoscopy (p < 0.05).

Key Words: COMPLICATIONS: hypertension, tachycardia, arrhythmia • TECHNIQUES: nasogastric tube insertion







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Copyright © 1985 by the Canadian Anesthesiologists' Society.