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{"references": ["1. Charuluxananan S, Kyokong O, Somboonviboon W, Balmongkon B, Chaisom boonpan Sx. Nicardipine versus lidocaine for attenuating the cardio vascular response to endotracheal intubation. J Anesth. 2000; 14: 77-81.", "2. Gunes Y, Gunduz M, Ozcengiz D, Ozbek H, Isik G. Dexmedetomidine -remifentanil or propofolremifentanil anaesthesia in patients undergoing intra cranial surgery. Neurosurg Q. 2005:15:122-6.", "3. Powroznyk A, Vuylsteke A, Naughton C, Misso S, Holloway J, Jolin-Mellgard A et al. Comparison of clevidipine with sodium nitro prusside in the control of blood pressure after coronary artery surgery. Eur J Anaesth. 2003; 20:697-703.", "4. Vucevic M, Purdy GM, Ellis FR. Esmolol hydro chloride for management of the cardio vascular stress responses to laryngoscopy and tracheal intubation. Br J Anaesth. 1992; 68(5): 529-530.", "5. Bloor BC, Flacke WE. 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The aim of this study was to determine whether dexmedetomidine attenuates hemodynamic response to intubation & reduces perioperative anaesthetic requirement. Sixty ASA I & II patients scheduled for elective surgery of duration 3 hrs or more were randomly selected. Patients were divided into two groups: GroupA(n=30) received halothane-fentanyl-saline and group B (n=30) received halothane-fentanyl-dexmedetomidine. Dexmedetomidine infusion in a dose of 1 μg / kg was given over 10 min. before induction of anaesthesia and was continued in dose of 0.2-0.7 μg / kg / hr. until skin closure. All patients were induced with thiopentone, fentanyl and rocuronium. Hemodynamic variables were continuously recorded. The need for thiopentone and halothane was decreased by 25% and 30%, respectively, in dexmedetomidine group as compared to the control group. After tracheal intubation, maximal average increase in systolic, diastolic blood pressure and heart rate was 10%, 10% and 5%, in dexmedetomidine group, as compared to 35%, 30% and 25% in control group, respectively. Fentanyl requirement were 33% less in dexmedetomidine group. It is inferred that dexmedetomidine attenuates hemodynamic response to intubation and has anaesthetic sparing effect.
dexmedetomidine, tracheal intubation, hemodynamic response, fentanyl, halothane
dexmedetomidine, tracheal intubation, hemodynamic response, fentanyl, halothane
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