The Effect of Doxapram Hydrochloride on the Ventilation Responses during Total Intravenous Anesthesia by Laryngeal Mask Airway.
10.4097/kjae.2007.53.4.470
- Author:
Young Chul YOON
1
;
Sang Hyun KWAK
;
Sung Tae JEONG
;
Seok jai KIM
;
Hong Beom BAE
;
Sung Su CHUNG
;
Chang young JEONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea. shkwak@jnu.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
doxapram;
respiratory depression;
TIVA
- MeSH:
Anesthesia;
Anesthesia, Intravenous*;
Anesthetics, Intravenous;
Carbon Dioxide;
Depression;
Doxapram*;
Humans;
Laryngeal Masks*;
Propofol;
Respiratory Insufficiency;
Respiratory Rate;
Tidal Volume;
Ventilation*
- From:Korean Journal of Anesthesiology
2007;53(4):470-476
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Intravenous anesthetics causes depression of ventilatory response to hypercapnea. Doxapram stimulates ventilation via peripheral and central chemoreceptors. This study was aimed to evaluate the effect of doxapram on ventilation during total intravenous anesthesia (TIVA). METHODS: 60 patients undergoing operation under spontaneous ventilation via laryngeal mask airwaywere randomly divided into 3 groups: Control group received 5% dextrous infusion, D-2 group received doxapram injection of 1 mg/kg followed by continuous infusion of 2 mg/kg/hr, and D-4 group received doxapram injection of 2 mg/kg followed by continuous infusion of 4 mg/kg/hr. Anesthesia was induced and maintained with propofol and remifentanil. Respiratory rate, tidal volume (VT) and arterial carbon dioxide tension (PaCO2) were measured before and 15 min after induction of anesthesia, 0(15 min after start of operation), 1, 2, 3, 5, 15, 30, 45, and 60 min after start of doxapram infusion during TIVA. RESULTS: VT was significantly increased 1 min after start of doxapram infusion and returned to the value of pre-doxapram infusion immediately. In D-4 group, VT was significantly (P < 0.05) increased again 5 min after doxapram infusion compared with the value of pre-doxapram infusion and control group. PaCO2 was decreased 1 min after start of doxapram infusion and then increased again 2 min after doxapram infusion. In D-4 group, the degree of increase of PaCO2 was significantly (P < 0.05) less than those of D-2 group. CONCLUSIONS: Doxapram injection of 2 mg/kg followed by continuous infusion of 4 mg/kg/hr improved the depression of ventilatory response during TIVA.
