Dexmedetomidine as an adjunct to anesthetic induction to attenuate hemodynamic response to endotracheal intubation in patients undergoing fast-track CABG

Annals of Cardiac Anaesthesia

Volumn 13, Issue 1, 2010, Pages 16-21

  Menda, Ferdi ^a   Köner, Özge ^a   Sayin, Murat ^a   Türe, Hatice ^a   Imer, Pinar ^a   Aykaç, Bora ^a  

^a YEDITEPE UNIVERSITY   (Turkey)

Author keywords

Cardiac anesthesia; Dexmedetomidine; Fast track

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; DEXMEDETOMIDINE; ETOMIDATE; FENTANYL; MIDAZOLAM; PLACEBO; PROPOFOL; REMIFENTANIL; ROCURONIUM;

ADULT; ANESTHESIA INDUCTION; ARTERIAL PRESSURE; ARTICLE; BLOOD PRESSURE MONITORING; BRADYCARDIA; CLINICAL ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DIASTOLIC BLOOD PRESSURE; DOUBLE BLIND PROCEDURE; DRUG SAFETY; ENDOTRACHEAL INTUBATION; FEMALE; GENERAL ANESTHESIA; HEART HEMODYNAMICS; HEART MUSCLE REVASCULARIZATION; HEART RATE; HUMAN; HYPERTENSION; HYPOTENSION; INCIDENCE; LOW DRUG DOSE; MALE; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SYSTOLIC BLOOD PRESSURE; TACHYCARDIA;

ADRENERGIC ALPHA-AGONISTS; ADULT; AGED; BLOOD PRESSURE; CORONARY ARTERY BYPASS; DEXMEDETOMIDINE; DOUBLE-BLIND METHOD; FEMALE; HEART RATE; HEMODYNAMICS; HUMANS; INTUBATION, INTRATRACHEAL; MALE; MIDDLE AGED; PROSPECTIVE STUDIES;

EID: 74849111100     PISSN: 09719784     EISSN: 09745181     Source Type: Journal    
DOI: 10.4103/0971-9784.58829     Document Type: Article

References (29)

1. Mikawa K, Nishina K, Maekawa N, Obara H. Comparison of nicardipine, diltiazem and verapamil for controlling the cardiovascular responses to tracheal intubation. Br J Anaesth 1996;76:221-6.
2. Fassoulaki A, Kaniaris P. Intranasal administration of nitroglycerine attenuates the pressor response to laryngoscopy and intubation of the trachea. Br J Anaesth 1983;5:49-52.
3. Stoelting RK. Attenuation of blood pressure response to laryngoscopy and tracheal intubation with sodium nitroprusside. Anesth Analg 1979;58:116-9.
4. Mikawa K, Obara H, Kusunoki M. The effect of nicardipine on the cardiovascular response to tracheal intubation. Br J Anaesth 1990;64:240-2.
5. Charuluxananan S, Kyokong O, Somboonviboon W, Balmongkon B, Chaisomboonpan S. Nicardipine versus lidocaine for attenuating the cardiovascular response to endotracheal intubation. J Anesth 2000;14:77-81.
6. Martin DE, Rosenberg H, Aukburg SJ. Low dose fentanyl blunts circulatory responses to tracheal intubation. Anesth Analg 1982;6:680-4.
7. KO SH, Kim DC, Han YJ, Song HS. Small dose fentanyl: optimal dose of injection for blunting the circulatory responses to tracheal intubation. Anesth Analg 1998;86:658-61.
8. Cork RC, Weiss JL, Hameroff SR, Bentley J. Fentanyl preloading for rapid sequence induction of anesthesia. Anesth Analg 1984;63; 63:60-4.
9. Lev R, Rosen P. Prophylactic lidocaine use preintubation: a review. J Emerg Med 1994;12:499-506.
10. Jalonen J, Hynynen M, Kuitunen A. Dexmedetomidine as an anesthetic adjunct in coronary artery bypass grafting. Anesthesiology 1997;86:331-45.
11. Cheng DC. Fast-track cardiac surgery: economic implications in postoperative care. J Cardiothorac Vasc Anesth 1998;12:72-9.
12. Engoren M, Luther G, Fenn-Buderer N. A comparison of fentanyl, sufentanil, and remifentanil for fast-track cardiac anesthesia. Anesth Analg 2001;93:859-64.
13. Maze M, Tranquilly W. α-2 adrenoceptor agonists: Defining the role in clinical anesthesia. Anesthesiology 1991;74:581-605.
14. Aantaa R, Scheinin M. α-2-adrenergic agents in anesthesiology. Acta Anaesthesiol Scand 1993;37:433-48.
15. Flacke JW, Bloor BC, Flacke WE, Wong D, Daza S, Stead SW. Reduced narcotic requirement by clonidine with improved hemodynamic and adrenergic stability in patients undergoing coronary bypass surgery. Anesthesiology 1987;67:909-17.
16. Quintin L, Bonnet F, Macquin I. Aortic surgery: Effect of clonidine on intraoperative catecholaminergic and circulatory stability. Acta Anaesthesiol Scand 1990;34:132-7.
17. Kaukinen S, Pyykko. Potentiation of halothane anaesthesia by clonidine. Acta Anaesthesiol Scand 1979;23:107-11.
18. Bloor BC, Flacke WE. Reduction of halothane anesthetic requirements by clonidine, an α-2 -adrenergic agonist. Anest Analg 1982;61:741-5.
19. Virtanen R, Savola J, Nyman L. Characterization of the selectivity, specifity and potency of medetomidine as an α-2 adrenoceptor agonist. Eur J Pharmacol 1988;9-14.
20. Scheinin H, Virtanen R, MacDonald E, Lammintausta R. Medetomidine-a novel α-2-adrenoceptor agonist:A review of its pharmacological effects. Prog Neuro-Psychopharmacol Biol Psychiatry 1989;13:635-51.
21. Wijeysundera DN, Naik JS, Beattie WS. α-2 adrenergic agonists to prevent perioperative cardiovascular complications: a meta analysis. Am J Med 2003;114:742-52.
22. Singh H, Vichitvejpaisal P, Gaines GY, White PF. Comparative effects of lidocaine, esmolol and nitroglycerin in modifying the hemodynamic response to laryngoscopy and intubation. J Clin Anesth 1995;7:5-8.
23. Martin E, Ramsay G, Mantz J, Sum-Ping ST. The role of the α-2-adrenoceptor agonist dexmedetomidine in postsurgical sedation in the intensive care unit. J Intensive Care Med 2003;18:29-41.
24. Ben-Abraham R, Ogorek D, Weinbroum AA. Dexmedetomidine: a promising agent for anesthesia and perioperative care. Isr Med Assoc J 2000;2:793-6.
25. Khan ZP, Ferguson CN, Jones RM. α-2 and imidazoline receptor agonists: Their pharmacology and therapeutic role. Anaesthesia 1999;54:146-65.
26. Lawrence CJ, De Lange S. Effects of a single pre-operative dexmedetomidine dose on isoflurane requirements and peri-operative haemodynamic stability. Anaesthesia 1997;52:736-44.
27. Scheinin H, Jaakola ML, Sjovall S, Ali-Melkkila T, Kaukinen S, Turunen J, et al. Intramuscular dexmedetomidine as premedication for general anesthesia: A comparative multicenter study. Anesthesiology 1993;78:1065-75.
28. Yildiz M, Tavlan A, Tuncer S, Reisli R, Yosunkaya A, Otelcioglu S. Effect of dexmedetomidine on haemodynamic responses to laryngoscopy and intubation: perioperative haemodynamics and anaesthetic requirements. Drugs R D 2006;7:43-52.
29. Erkola O, Korttila K, Aho M, Haasio J, Aantaa R. Comparison of intramuscular dexmedetomidine and midazolam premedication for elective abdominal hysterectomy. Anesth Analg 1994;79:646-53.