Comparing intravenous clonidine and nalbuphine for attenuating hemodynamic response to laryngoscopy and improving perioperative outcomes in laparoscopic surgeries
نویسندگان
چکیده
The Department of Anaesthesia at SPMC Bikaner approved the trial and it was carried out during laparoscopic surgery OT with proper informed written permission. study a double-blind, randomised, prospective interventional trial. comprised 60 (ASA) Classes I II patients between ages 18 who were scheduled for elective cholecystectomy. Using computer-generated random number sequence, divided into two groups 30 each: Group A received 1.5 mg/kg clonidine, whereas B received.2 nalbuphine in 50 ml NS solution. Prior to administering drug, five minutes after premedication, hemodynamic parameters recorded. Double-blind administration medication occurred more than 10 before anaesthesia onset. Hemodynamic recorded following medication, 1 5 intubation, prior pneumoperitoneum, minutes, 20 40 finally extubation. minute intubation (and pneumoperitoneum post extubation), discovered that there substantial difference heart rate, SBP, DBP, MAP B. In our investigation, hemodynamics related rate improved clonidine. Based on results other earlier research conducted by different authors, we came conclusion both clonidine nalbuphine, when administered undergoing surgery, attenuated response surgery. systolic diastolic blood pressure, mean arterial pressure is much less which leads us produced greater nalbuphine.
منابع مشابه
A Comparative Study of Clonidine and Lignocaine for Attenuating Pressor Responses to Laryngoscopy and Endotracheal Intubation in Neurosurgical Cases
BACKGROUND AND AIMS Laryngoscopy and endotracheal intubation are associated with reflex sympathetic stimulation, known as pressor response and can cause major complications. We compared the attenuating effect of time-tested lignocaine versus clonidine on the hemodynamic response to laryngoscopy and intubation in neurosurgical cases. DESIGN A prospective, randomized, comparative, double-blind ...
متن کاملEfficacy of Nalbuphine in Preventing Haemodynamic Response to Laryngoscopy and Intubation
Laryngoscopy and orotracheal intubation is associated with haemodynamic response and a rise in plasma concentrations of catecholamine like noradrenaline, adrenaline and dopamine. The hemodynamic response to laryngoscopy and intubation was described in 1940 by Reid and Brace1. Rise in sympathetic hormones during intubation is associated with complications in high risk patients which can increase...
متن کاملOral clonidine for attenuation of haemodynamic response to laryngoscopy and endotracheal intubation in known hypertensive patients.
BACKGROUND Sympathetic response associated with laryngoscopy and endotracheal intubation is recognised as a potential cause for a number of complications especially in hypertensive patients. Various methods have been used to attenuate these haemodynamic responses; however most of the studies are in normotensive patients. The aim of our study was to compare the effect of oral clonidine and 1/V f...
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ECT is performed under general anaesthesia with muscle relaxation to avoid the risks of long bone and vertebral fractures from violent 3 muscle contractions. ECT stimulates autonomic nervous system, with an initial parasympathetic induced bradycardia lasting 10 to 15 secs followed immediately by a more prominent sympathetic response that results in tachycardia and hypertension lasting 5 4,5 min...
متن کاملcomparing clonidine and lidocaine on attenuation of hemodynamic responses to laryngoscopy and tracheal intubation in controlled hypertensive patients: a randomized, double-blinded clinical trial
conclusions there were no statistical differences between oral clonidine and intravenous lidocaine regarding attenuation of hemodynamic responses after tracheal intubation in controlled hypertensive patients, although the rate of complications including mouth dryness, bradycardia, and orthostatic hypotension was significantly higher in the clonidine group before induction of anesthesia. results...
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ژورنال
عنوان ژورنال: Journal of applied pharmaceutical research
سال: 2023
ISSN: ['2348-0335']
DOI: https://doi.org/10.18231/j.joapr.2022.11.2.27.31