DEXMEDETOMIDINE 1 µg/kg VERSUS MAGNISIUM SULPHATE 30mg/kg IN ATTENUATING STRESS RESPONSE DURING DIRECT LARYNGOSCOPY AND INTUBATION – A COMPARATIVE STUDY
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i8.49002Keywords:
dtrAbstract
Objective: In patients who undergo general anesthesia, the need for intubation and laryngoscopy is paramount. There will be hemodynamic changes in the body which occur due to intubation ultimately leading to stress.
The aim of the study was to compare the efficacy of dexmedetomidine 1 μg/kg and magnesium sulfate 30 mg/kg in reducing the stress response occurring due to intubation and laryngoscopy.
Methods: A randomized and double-blinded study was carried out in 60 participants who were divided into two groups. Group D were given dexmedetomidine 1 μg/kg while Group M were given magnesium sulfate 30 mg/kg. The baseline vitals were monitored at 0, 1, 3, 5, and 10 minutes after intubation.
Results: The heart rate and blood pressure showed an increase in both the groups after intubation. However, the pre-induction values were reached earlier in the Group D when compared to the Group M patients.
Conclusion: The patients who were pre-induced with dexmedetomidine 1 μg/kg showed a better hemodynamic stability when compared to those given magnesium sulfate 30 mg/kg.
Downloads
References
Reid LC, Brace DE. Irritation of respiratory tract and its reflex effect on heart. Surg Gynaecol Obstet 1940;70:157.
Preys-Roberts C. Anaesthesia and hypertension. Br J Anaesth 1984;56:711-24.
Scheinin B, Lindgren L, Randell T, Scheinin H, Scheinin M. Dexmedetomidine attenuates sympathoadrenal responses to tracheal intubation and reduces the need for thiopentone and peroperative fentanyl. Br J Anaesth 1992;68:126-31.
Aho M, Lehtnen AM, Erkola O, Scheinin H, Lehtinen A, Kallio A, et al. The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy. Anesthesiology 1991;74:997-1002.
Yildiz M, Tavlan A, Tuncer S, Reisli R, Yosunkaya A, Otelcioglu S. Effect of dexmedetomidine on hemodynamic responses to laryngoscopy and intubation: Perioperative hemodynamics and anesthetic requirements. Drugs RD 2006;7:43-52.
Basar H, Akpinar S, Doganci N, Buyukkocak U, Kaymak C, Sert O, et al. The effect of preanesthetic, single-dose dexmedetomidine on induction, hemodynamic, and cardiovascular parameters. J Clin Anaesth 2008;20:431-6.
Kunisawa T, Nagata O, Nagashima M. Dexmedetomidine suppresses the decrease in blood pressure during anesthetic induction and blunts the cardiovascular response to tracheal intubation. J Clin Anaesth 2009;21:194-9.
Menda F, Koner O, Sayin M, Ture H, Imer P, Aykac B. Dexmedetomidine as an adjunct to anesthetic induction to attenuate hemodynamic response to endotracheal intubation in patients undergoing fast-track CABG. Ann Card Anaesth 2010;13:16-21.
Elsharnouby NM, Elsharnouby MM. Magnesium sulphate as a technique of hypotensive anesthesia. Br J Anaesth 2006;96:727-31.
Boerner TF, Ramanathan S. Functional anatomy of the airway. In: Benumof JL, editor. Airway Management-Principles and Practice. New York: Mosby Inc.; 1996.
Russell WJ, Morris RG, Frewin DB, Drew SE. Changes in plasma catecholamine concentrations during endotracheal intubation. Br J Anaesth 1981;53:837-9.
Allen RW, James MF, Uys PC. Attenuation of the pressor response to tracheal intubation in hypertensive proteinuric pregnant patients by lignocaine, alfentanil and magnesium sulphate. Br J Anaesth 1991;66:216-23.
Puri GD, Marudhachalam KS, Chari P, Suri RK. The effect of magnesium sulphate on hemodynamics and its efficacy in attenuating the response to endotracheal intubation in patients with coronary artery disease. Anesth Analg 1998;87:808-11.
Published
How to Cite
Issue
Section
Copyright (c) 2023 Dr T Phaneendra Reddy
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.