| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Canadian Journal of Anesthesia, Vol 42, 785-788, Copyright © 1995 by Canadian Anesthesiologists' Society
ARTICLES |
Y Fujii, H Tanaka, Y Saitoh and H Toyooka
Department of Anaesthesiology, Toride Kyodo General Hospital, Ibaraki, Japan.
We studied the circulatory responses to laryngoscopy and tracheal intubation in 37 hypertensive patients who received nicardipine 30 micrograms.kg-1 iv (Group N, n = 12), diltiazem 0.3 mg.kg-1 (Group D, n = 12) or saline placebo (Group C, n = 13) 60 sec before the initiation of laryngoscopy. Anaesthesia was induced with thiopentone 5 mg.kg-1 iv, and succinylcholine 2 mg.kg-1 iv was used to facilitate tracheal intubation after precurarization with vecuronium 0.02 mg.kg-1 iv. In patients in Group C heart rate (HR) increased from 79 +/- 14 (baseline) to 110 +/- 12 (P < 0.05) associated with tracheal intubation; mean arterial pressure (MAP) increased from 116 +/- 8 to 140 +/- 77 (P < 0.05) and rate-pressure product (RPP) increased from 13385 +/- 2393 to 21251 +/- 3883 (P < 0.05). The changes from baseline values in HR and RPP after tracheal intubation in Group D were less than those in Groups C and N (P < 0.05). The increase in MAP following tracheal intubation in Groups N and D was lower than that in Group C (P < 0.05). We conclude that, compared with nicardipine, administration of diltiazem iv is associated with less circulatory response to tracheal intubation in hypertensive patients.
This article has been cited by other articles:
 |
|
 |
|
  K. Nishikawa, M. Kawamata, and A. Namiki Lightwand intubation is associated with less hemodynamic changes than fibreoptic intubation in normotensive, but not in hypertensive patients over the age of 60 : [L'intubation avec stylet lumineux, compare au fibroscope, entraine moins de changements hemodynamiques chez les patients normotendus, non chez les hypertendus, de plus de 60 ans] Can J Anesth, December 1, 2001; 48(11): 1148 - 1154. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kimura, M. Yamakage, X. Chen, Y. Kamada, and A. Namiki Use of the fibreoptic stylet scope (StyletscopeTM) reduces the hemodynamic response to intubation in normotensive and hypertensive patients : [L'utilisation d'un stylet fibroscopique (StyletscopeTM) reduit la reponse hemodynamique a l'intubation chez les patients normotendus et hypertendus] Can J Anesth, October 1, 2001; 48(9): 919 - 923. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Nishikawa, K. Omote, S. Kawana, and A. Namiki A Comparison of Hemodynamic Changes After Endotracheal Intubation by Using the Lightwand Device and the Laryngoscope in Normotensive and Hypertensive Patients Anesth. Analg., May 1, 2000; 90(5): 1203 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Atlee, M. S. Dhamee, T. L. Olund, and V. George The Use of Esmolol, Nicardipine, or Their Combination to Blunt Hemodynamic Changes After Laryngoscopy and Tracheal Intubation Anesth. Analg., February 1, 2000; 90(2): 280 - 280. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
