Comparison of dexmedetomidine and remifentanil for attenuation of hemodynamic responses to laryngoscopy and tracheal intubation.
10.4097/kjae.2012.63.2.124
- Author:
Jeong Han LEE
1
;
Hyojoong KIM
;
Hyun Tae KIM
;
Myoung Hun KIM
;
Kwangrae CHO
;
Se Hun LIM
;
Kun Moo LEE
;
Young Jae KIM
;
Chee Mahn SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea. ljh646@daum.net
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Dexmedetomidine;
Endotracheal intubation;
Hemodynamics;
Remifentanil
- MeSH:
Androstanols;
Anesthesia;
Blood Pressure;
Dexmedetomidine;
Heart Rate;
Hemodynamics;
Humans;
Intubation;
Intubation, Intratracheal;
Laryngoscopy;
Methyl Ethers;
Nitrous Oxide;
Oxygen;
Piperidines;
Propofol
- From:Korean Journal of Anesthesiology
2012;63(2):124-129
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: This study was designed to compare the effect of dexmedetomidine and remifentanil used in anesthetic induction on hemodynamic change after direct laryngoscopy and tracheal intubation. METHODS: A total of 90 ASA class 1 or 2 patients were randomly assigned to one of 3 groups to receive one of the following treatments in a double-blind manner: normal saline (Group C, n = 30), dexmedetomidine 1 microg/kg (Group D, n = 30), remifentanil 1 microg/kg (Group R, n= 30). Anesthesia was induced with propofol 2 mg/kg and rocuronium 0.6 mg/kg and maintained with 2 vol% sevoflurane and 50% nitrous oxide in oxygen. In group D, dexmedetomidine 1 microg/kg was infused for 10 min before tracheal intubation. Patients in group R was received 1 microg/kg of remifentanil 1 minute before tracheal intubation. The systolic blood pressure, diastolic blood pressure and heart rate were recorded from entrance to operation room to 5 min after tracheal intubation. RESULTS: The percent increase in systolic and diastolic blood pressure due to tracheal intubation in group D and R were significantly lower than that of group C (P < 0.05). The heart rate 1 min after tracheal intubation was lower in groups R and D than in the group C (P < 0.05). CONCLUSIONS: In healthy normotensive patients, the use of dexmedetomidine during anesthetic induction suppressed a decrease in blood pressure due to anesthetic induction and blunted the hemodynamic responses to endotracheal intubation.
