Anaesthesia Wed 05 February 2020 Dexmedetomidine as an adjunct to anaesthetic induction to attenuate haemodynamic responses to endotracheal intubation
Researcher : Sanjeev Omprakash
Research Guide : Kumar Arun
Institution Name : Indira Gandhi Institute of Medical Sciences Patna
Co-Researchers

Abstract

Introduction: The hemodynamic responses to endotracheal intubation (EI) may impose myocardial ischemia, infarction (MI); arrhythmias or precipitate cardiac failure. Dexmedetomidine, which is a D-isomer of medetomidine is more specific for alpha 2 adrenergic receptor and shorter acting than clonidine. As studies to explore the property of dexmedetomodine for attenuation of haemodynamic responses to EI are only few, this study was an attempt to assess the efficacy and safety of dexmedetomidine for the same.
Aim and Objectives: To assess the efficacy of a single preoperative dose of intravenous dexmedetomidine in attenuating the haemodynamic responses to EI.
Materials and Method: The study design was prospective, interventional randomised placebo controlled clinical trial. Each and every patient who fulfilled the eligibility criteria was randomly assigned to one of the two groups, Group C (Control) or Group D (Dexmedetomidine), using a computer generated random number table. Participants of group C received 20 ml of normal saline over 15 minutes and of group D received dexmedetomidine 0.5micg/kg, diluted in normal saline to make 20 ml, over 15 minutes through a syringe pump.
Results: There was statistically significant rise in the mean heart rate in Group C‚ during EI from 82.82 ± 13.37 to 115.86 ± 13.12 (p<0.05). The rise in systolic blood pressure was also significantly high in control group compared with dexmedetomidine group at the time point of EI. Conclusion: Dexemedetomidine in the dose of 0.5 micg/Kg adminstered as an adjucnt during induction of anaesthesia attenuated the haemodynamic responses to endotracheal intubation but did not abolish it completely.

DOI: 1580897377   Year of publication: 2016

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