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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 1, January-February 2020, Pages 15-20
 

Original Article

A Comparative Study of Attenuation of Hemodynamic Responses to Laryngoscopy and Intubation with and without Oral Clonidine

B Keshavanarayana, B Sunitha

1Assistant Professor, Department of Anesthesiology, Dr. VRK. Women’s College, Teaching Hospital and Research, Aziz Nagar, Hyderabad, Telangana 500075, India. 2Assistant Professor: Department of Anesthesiology, Government Medical College, Mahabubnagar District, Mahbubnagar, Telangana 509001, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7120.2

Abstract

Introduction: Endotracheal intubation is the translaryngeal placement of endotracheal tube into the trachea. Hypertension and tachycardia, usually accompany larynogoscopy and tracheal intubation. Aims: A comparative study of attenuation of hemodynamic responses to laryngoscopy and intubation with and without oral clonidine. Materials and Methods: This study was done in Fifty patients were selected for the study with the age group ranging between 20–60 years belonging to ASA Group-I. Patients undergoing elective surgical procedures were included in the study. The fifty patients were randomly divided into Two Groups: Control Group and Study Group. Each Group consisted of 25 patients. Results: Preinduction and postinduction hemodynamic values were significantly lower in study (clonidine) group, when compared with those of control (without clonidine) group. The difference was statistically significant. Conclusions: The stability of heart rate and blood pressure could be achieved by using clonidine 5 ug/kg as a premedicantly useful in management and can prevent instances of ‘alpine anesthesia’(attempt to delineate the role of intraoperative hypotension and blood pressure variability).

 


Keywords : Ultrasonography; Difficult airway; Direct laryngoscopy.
Corresponding Author : B Sunitha