The Effects of Preoperative Sprayed 10% Lidocaine on the Hemodynamic Response during Suspension Microlaryngeal Surgery.
10.12701/yujm.2007.24.2.162
- Author:
Deok Hee LEE
1
;
Hyun Seok DO
Author Information
1. Department of Anestheisiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. dhlee415@ynu.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Hemodynamic;
Lidocaine;
Suspension Microlaryngeal Surgery
- MeSH:
Anesthesia;
Arterial Pressure;
Heart Rate;
Hemodynamics*;
Humans;
Intubation;
Laryngoscopy;
Lidocaine*;
Polyps
- From:Yeungnam University Journal of Medicine
2007;24(2):162-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: It is well known that suspension microlaryngeal surgery produces marked increases in arterial blood pressure and heart rate. In this study, we evaluated the effects of 10% lidocaine preoperatively sprayed for attenuation of the perioperative hemodynamic response during suspension microlaryngeal surgery. MATERIALS AND METHODS: Fifty American Society of Anesthesiologists (ASA) class 1 patients scheduled for excision of a vocal polyp by suspension laryngoscopy were randomly divided into two groups (n=25 for each group). They were intubated without 10% lidocaine spray (control group) or given 1.5 mg/kg of 10% lidocaine sprayed onto the pharyngolaryngeal and intratracheal sites 90 sec prior to intubation (10% lidocaine group). Anesthesia was maintained using desflurane in O2/N2O 50%. The arterial blood pressure and heart rate were measured at preinduction (T0), 1 min (T1), 3 min (T2), 5 min (T3) after tracheal intubation, and 1 min (T4), 3 min (T5), 5 min (T6) and 10 min (T7) after the suspension laryngoscopy. RESULTS: In the 10% lidocaine group, the arterial blood pressure and heart rate at 1 (T1), 3 (T2) min after tracheal intubation and 1 (T4), and 3 (T5) min after suspension laryngoscopy were lower than the same measurements in the control group. CONCLUSION: 10% lidocaine sprayed onto the pharyngolaryngeal and intratracheal sites before intubation was an effective method for attenuation of the perioperative hemodynamic response during suspension microlaryngeal surgery.
