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185326

The Efficacy of Dexmedetomidine in Suppressing Cardiovascular and Sympathoadrenal Response to Endotracheal Intubation in Hypertensive Patients Undergoing Elective Surgery

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Last updated: 22 Jan 2023

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Abstract

The Present study was conducted on 20 controlled hypertensive adult patients. They all received general anesthesia for elective surgery and dexedetomidine infusion for 5 minutes before endotracheal intubation and for 10 minutes thereafter. It was found out that there was a significant mild reduction in systolic blood pressure, mean heart rate, and rate pressure product after start of infusion, P = 0.01, 0.05, and 0.01, respectively. After intubation, there were insignificant changes in systolic blood pressure [P=0.05] and heart rate showed mild significant increase at 1, 2, and 4 minutes with back to normal values at 6, 8, and 10 minutes. Rate pressure products also showed insignificant increase at 2, 4, and 6 minutes and back to normal at 6, 8 and 10 minutes. Epinephrine plasma level showed insignificant change after 10 minutes of intubation from baseline value 79.5±21 Vs. 76.8±18 pg/ml [P=0.01], while norepinephrine level was 419±48 pg/ml as baseline Vs. 428±51 pg/ml at 10 minutes after intubation with also mild insignificant change. The total dose of propfol used for induction of anesthesia was less than calculated as evidenced by loss of eyelash reflex and apnea with a mean value of 159 mg [1.54 mg/kg Bwt.] indicating that dexmedetomidine infusion before induction significantly reduced the dose of propofol needed for induction of anesthesia.

DOI

10.21608/jhiph.2004.185326

Keywords

Dexmedetomidine, Suppressing Cardiovascular, Sympathoadrenal Response, Hypertensive Patients, Elective surgery

Authors

First Name

Ayman

Last Name

Mostafa

MiddleName

A.

Affiliation

Anesthesia and Surgical Intensive Care Department, Faculty of Medicine, Alexandria University, Egypt

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Orcid

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First Name

Ashraf

Last Name

Hassan

MiddleName

A M.

Affiliation

Applied Medical Chemistry Department, Medical Research Institute, Alexandria University, Egypt

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Volume

34

Article Issue

4

Related Issue

26025

Issue Date

2004-10-01

Receive Date

2021-07-25

Publish Date

2004-10-01

Page Start

985

Page End

994

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_185326.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=185326

Order

16

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Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

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Article

Created At

22 Jan 2023