Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ ZENODOarrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
ZENODO
Article . 2023
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
versions View all 2 versions
addClaim

Comparative Analysis of the Dexmedetomidine, Lignocaine, and Their Combination on the Hemodynamic Response During Laryngoscopy and Intubation

Authors: Pujaben A Barad; Pringalkumar Pravinbhai Gohil; Arpit Shah;

Comparative Analysis of the Dexmedetomidine, Lignocaine, and Their Combination on the Hemodynamic Response During Laryngoscopy and Intubation

Abstract

Background and Aim: Several pharmaceutical and non-pharmacological methods have been used to lessen the hemodynamic response to laryngoscopy and endotracheal intubation. The current study set out to determine whether Lignocaine (1 mg/kg), Dexmedetomidine (0.5 mcg/kg), or a combination of these two low dosages (Dexmedetomidine and Lignocaine) would be more successful in lowering the hemodynamic response to intubation. Material and Methods: 150 total ASA grades After receiving approval from the institutional ethical committee, 1 patients between the ages of 18 and 60 were enrolled for the study. By using the envelope method, patients were sorted into three groups of 50 each: Group L, Group D, and Group DL. Vital indicators such HR, SAP, DAP, and MAP were measured at baseline, following the administration of the study drug, during induction, and 1, 3, 5, 7, and 15 minutes after intubation. Results: It was discovered that for the whole 15-minute study period following intubation, the mean HR and BP in group DL stayed below baseline values. Conclusion: It is generally known that BP and, to a lesser extent, HR fluctuations that are more than 20–25% from baseline may be harmful. Therefore, it is vital to keep an eye out for this alteration even when the findings are within the usual range. A combination of low dose dexmedetomidine (0.5 mcg/kg) and lignocaine (1 mg/kg) effectively reduces the pressor response during laryngoscopy and intubation without having any negative hemodynamic effects, as opposed to lignocaine (1.5 mg/kg) alone or a high dose of dexmedetomidine (1 mcg/kg) alone.

Background and Aim: Several pharmaceutical and non-pharmacological methods have been used to lessen the hemodynamic response to laryngoscopy and endotracheal intubation. The current study set out to determine whether Lignocaine (1 mg/kg), Dexmedetomidine (0.5 mcg/kg), or a combination of these two low dosages (Dexmedetomidine and Lignocaine) would be more successful in lowering the hemodynamic response to intubation. Material and Methods: 150 total ASA grades After receiving approval from the institutional ethical committee, 1 patients between the ages of 18 and 60 were enrolled for the study. By using the envelope method, patients were sorted into three groups of 50 each: Group L, Group D, and Group DL. Vital indicators such HR, SAP, DAP, and MAP were measured at baseline, following the administration of the study drug, during induction, and 1, 3, 5, 7, and 15 minutes after intubation. Results: It was discovered that for the whole 15-minute study period following intubation, the mean HR and BP in group DL stayed below baseline values. Conclusion: It is generally known that BP and, to a lesser extent, HR fluctuations that are more than 20–25% from baseline may be harmful. Therefore, it is vital to keep an eye out for this alteration even when the findings are within the usual range. A combination of low dose dexmedetomidine (0.5 mcg/kg) and lignocaine (1 mg/kg) effectively reduces the pressor response during laryngoscopy and intubation without having any negative hemodynamic effects, as opposed to lignocaine (1.5 mg/kg) alone or a high dose of dexmedetomidine (1 mcg/kg) alone.

Keywords

Dexmedetomidine, Endotracheal Intubation, Laryngoscopy, Lignocaine

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Related to Research communities