Effects of alfentanil and lidocaine on the hemodynamic responses to laryngoscopy and tracheal intubation

Dhirendra Pathak, Roger M. Slater, Sam S T Sum Ping, Robert P. From

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

This study was undertaken to determine whether lidocaine and/or alfentanil can effectively abolish or attenuate the increase in mean arterial pressure (MAP), heart rate (HR), and rate pressure product (RPP) associated with rapid sequence induction of anesthesia. Sixty patients were randomly divided into four groups. Group 1 received saline 10 ml, group 2 received lidocaine 2 mg/kg, group 3 received alfentanil 15 μg/kg, and group 4 received alfentanil 30 μg/kg. All patients were induced with sodium thiopental 4 mg/kg and succinylcholine 1.5 mg/kg to facilitate tracheal intubation. The study drug was given after sodium thiopental was administered, and the investigator was blinded to it. Blood Pressure (BP) and HR were recorded at the following times: before induction; after induction but before laryngoscopy and intubation; and 1, 3, and 5 minutes after intubation. Alfentanil 15 and 30 μg/kg given in rapid sequence fashion with thiopental and succinylcholine effectively blunted the hemodynamic responses to laryngoscopy and tracheal intubation. Lidocaine 2 mg/kg and saline were found to be ineffective in blunting these same responses.

Original languageEnglish (US)
Pages (from-to)81-85
Number of pages5
JournalJournal of Clinical Anesthesia
Volume2
Issue number2
DOIs
StatePublished - Jan 1 1990

Keywords

  • Anesthesia
  • alfentanil
  • endotracheal intubation
  • hemodynamic responses
  • laryngoscopy
  • lidocaine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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