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Canadian Journal of Anesthesia 49:458-460 (2002)
© Canadian Anesthesiologists' Society, 2002
General Anesthesia

The bispectral index response to tracheal intubation is similar in normotensive and hypertensive patients

[La réponse de l'index bispectral à l'intubation endotrachéale est similaire chez les patients normotendus et hypertendus]

Masayasu Nakayama, MD*, Hiromichi Ichinose, MD{dagger}, Shuji Yamamoto, MD{dagger}, Noriaki Kanaya, MD* and Akiyoshi Namiki, MD PhD*

* From the Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo; and
{dagger} the Division of Anesthesia, Obihiro Kosei Hospital, Obihiro, Japan.

Address correspondence to: Dr. Masayasu Nakayama, Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuoku, Sapporo 060-8543, Japan. Phone: +011 611-2111; Fax: +011 631-9683; E-mail: miyabi{at}zc4.so-net.ne.jp

Objectif : Comparer les réponses hémodynamiques et de l'index bispectral (BIS) à l'intubation endotrachéale chez des patients normotendus et hypertendus.

Méthode : Trois minutes après l'induction de l'anesthésie avec du thiamylal et du fentanyl, l'intubation endotrachéale a été réalisée chez 24 patients normotendus et 22 hypertendus. La fréquence cardiaque (FC), la tension artérielle moyenne (TAM) et le BIS ont été mesurés à toutes les minutes.

Résultats : L'intubation endotrachéale a fait augmenter la FC, la TAM et le BIS chez les patients des deux groupes. L'accroissement de la TAM a été significativement plus élevé chez les hypertendus, mais il n’y a pas eu de différence intergroupe pour la FC ou le BIS.

Conclusion : Les patients hypertendus ou non réagissent par la même réaction d'éveil (mesurée par le BIS) à l'intubation endotrachéale malgré l'augmentation de la réponse vasopressive chez les hypertendus.




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[Abstract] [Full Text] [PDF]

This Article
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