Labetalol and Esmolol in the Control of Hypertension After Intracranial Surgery

Muzzi, Donald A.; Black, Susan; LoSasso, Thomas; Cucchiara, Roy F.

doi:10.1213/00000539-199001000-00011

Cited by 102 publications

(57 citation statements)

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“…This is contrary to our study. 9 Our findings of haemodynamic response to extubation attenuated by esmolol are consistent & comparable to study conducted by Muzzi DA, Black S, et al 10 They compared efficacy of esmolol and labetalol in treating increase in blood pressure during emergence and recovery from anaesthesia after intracranial surgery. They found both esmolol and labetalol were equally effective in controlling systolic blood pressure on emergence and in the recovery room in patients undergoing intracranial surgery.…”

Section: About Systolic and Diastolic Bp Changessupporting

confidence: 89%

Comparative study on Haemodynamic response to extubation: Attenuation with Lignocaine, Esmolol, Propofol

2016

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Section: About Systolic and Diastolic Bp Changessupporting

confidence: 89%

Comparative study on Haemodynamic response to extubation: Attenuation with Lignocaine, Esmolol, Propofol

2016

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“…Cardiovascular complications include tachycardia, hypotensive and hypertensive episodes [7][8][9][10], which may be significant in patients with pre-existing ischaemic heart disease [11,12], pre-eclampsia [13] and in those undergoing neurological procedures [14]. Respiratory complications include local trauma, coughing, desaturation, breath-holding, masseter-spasm, laryngospasm, airway obstruction and aspiration [7,[15][16][17][18]].…”

Section: Discussionmentioning

confidence: 99%

Airway management before, during and after extubation: a survey of practice in the United Kingdom and Ireland

Rassam¹,

Sandby-Thomas²,

Vaughan³

et al. 2005

Anaesthesia

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SummaryComplications at extubation remain an important risk factor in anaesthesia. A postal survey was conducted on extubation practice amongst consultant anaesthetists in the United Kingdom and Ireland. The use of short acting drugs encourages anaesthetists to extubate the trachea at lighter levels of anaesthesia. The results show that oxygen (100%) is not routinely administered either before extubation or en route to the recovery area. A trend towards a head up or sitting position at extubation is emerging. However, further research into the use of these positions is required. Airway related complications at extubation are relatively frequent but are usually dealt with by simple basic measures. The role of drugs such as propofol in decreasing the incidence of these complications needs further evaluation. Some of these results give concern for patient safety and for training. The importance of teaching and adherence to continued oxygenation until complete recovery is strongly emphasised. Nerve stimulators should be used continually as standard monitoring throughout the anaesthetic period when muscle-relaxing drugs are part of the anaesthetic technique. It has been shown that there are more adverse incidents associated with extubation than intubation and these are occurring not only during extubation itself, but also during the time spent in the recovery room [1][2][3][4][5]. The increased incidence of complications has been correlated with the pre-operative physical status, depth of anaesthesia at extubation, increasing age and gender with a male preponderance [2,6]. These complications remain consistent regardless of the type of operation [1].The problems associated with extubation may be broadly categorised into cardiovascular and respiratory complications. Cardiovascular complications include tachycardia, hypotensive and hypertensive episodes [7][8][9][10], which may be significant in patients with pre-existing ischaemic heart disease [11,12], pre-eclampsia [13] and in those undergoing neurological procedures [14]. Respiratory complications include local trauma, coughing, desaturation, breath-holding, masseter-spasm, laryngospasm, airway obstruction and aspiration [7,[15][16][17][18]].An on-line journal search revealed a lack of recent investigations or statistical data in these areas. This survey was performed with this in mind. The main aims of the survey were twofold. The first was to ascertain extubation practices with regard to the type of surgery, timing, position and techniques. The second was to estimate the incidence of problems associated with extubation and how these were treated. MethodsA postal survey was conducted in May 2004. A total of 845 Consultant Anaesthetists were randomly selected from the membership database of the Association of Anaesthetists of Great Britain and Ireland (AAGBI). These anaesthetists were sent the questionnaire, which they were asked to complete and return anonymously in the stamped, addressed envelope provided. The questionnaire (Fig. 1) was a structured document with...

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“…Prys-Roberts et al, has reported that refl ex tachycardia and hypertension secondary to two different but consecutive stimuli manifest themselves during laryngoscopy, increase with intubation and are rapidly resolved when the endotracheal tube is placed and laryngoscope is withdrawn; nonetheless, concominant arrhtymias continue 26 . Previous studies aiming to suppress hemodynamic responses accompanying laryngoscopy and tracheal intubation have defi ned utilization of glossopharyngeal and superior laryngeal nerve blocks, topical or systemic lidocaine, deep levels of anesthesia with intravenous or inhalational anesthesia, opioids 27,28 , magnesium sulphate, vasodilators 29 , calcium channel 30 , α or β adrenergic receptor blockers 27,29,31 . On the other hand, studies comparing lidocaine, fentanyl and esmolol to suppress hemodynamic responses to intubation are limited.…”

Section: Discussionmentioning

confidence: 99%

Efeitos de esmolol, lidocaína e fentanil nos intervalos dispersão da onda P, QT, QTc e respostas hemodinâmicas à intubação endotraqueal durante indução com propofol: um estudo comparativo

Hancı¹,

Yurtlu²,

Karabağ³

et al. 2013

Rev. Bras. Anestesiol.

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Background and objectives: In our study we aimed to investigate the effect of esmolol, lidocaine and fentanyl on P-wave dispersion (Pwd), QT and corrected QT (QTc) durations and hemodynamic responses to endotracheal intubation during propofol induction. Methods: A total of eighty adult patients, American Society of Anesthesiologists (ASA) Physical Status I or II aged 18 to 60 years were included in this prospective, randomised, double-blind study. All patients had control electrocardiograms (ECGs) done before anesthesia induction. The patients were randomised into four equal groups. The control group (Group C) received saline 5 mL, the esmolol group (Group E) received esmolol 0.5 mg.kg -1 , the fentanyl group (Group F) received fentanyl 2 µg.kg -1 and the lidocaine group (Group L) received lidocaine 1.5 mg.kg -1 before

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Labetalol and Esmolol in the Control of Hypertension After Intracranial Surgery

Cited by 102 publications

References 0 publications

Comparative study on Haemodynamic response to extubation: Attenuation with Lignocaine, Esmolol, Propofol

Comparative study on Haemodynamic response to extubation: Attenuation with Lignocaine, Esmolol, Propofol

Airway management before, during and after extubation: a survey of practice in the United Kingdom and Ireland

Efeitos de esmolol, lidocaína e fentanil nos intervalos dispersão da onda P, QT, QTc e respostas hemodinâmicas à intubação endotraqueal durante indução com propofol: um estudo comparativo

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