Comparison of dexmedetomidine and remifentanil for attenuation of hemodynamic responses to laryngoscopy and tracheal intubation

Korean Journal of Anesthesiology

Volumn 63, Issue 2, 2012, Pages 124-129

  Lee, Jeong Han ^a   Kim, Hyojoong ^a   Kim, Hyun Tae ^a   Kim, Myoung Hun ^a   Cho, Kwangrae ^a   Lim, Se Hun ^a   Lee, Kun Moo ^a   Kim, Young Jae ^a   Shin, Chee Mahn ^a  

^a Inje University College of Medicine   (South Korea)

Author keywords

Dexmedetomidine; Endotracheal intubation; Hemodynamics; Remifentanil

Indexed keywords

DEXMEDETOMIDINE; NITROUS OXIDE; PROPOFOL; REMIFENTANIL; ROCURONIUM; SEVOFLURANE;

ADULT; ANESTHESIA INDUCTION; ARTICLE; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; DOUBLE BLIND PROCEDURE; DRUG EFFECT; ENDOTRACHEAL INTUBATION; FEMALE; HEART RATE; HEMODYNAMICS; HUMAN; LARYNGOSCOPY; MAJOR CLINICAL STUDY; MALE; OPERATING ROOM; RANDOMIZED CONTROLLED TRIAL; STATISTICAL SIGNIFICANCE; SYSTOLIC BLOOD PRESSURE;

EID: 84930472943     PISSN: 20056419     EISSN: 20057563     Source Type: Journal    
DOI: 10.4097/kjae.2012.63.2.124     Document Type: Article

References (30)

1. Shribman AJ, Smith G, Achola KJ. Cardiovascular and catecholamine responses to laryngoscopy with and without tracheal intubation. Br J Anaesth 1987; 59: 295-9.
2. Edwards ND, Alford AM, Dobson PM, Peacock JE, Reilly CS. Myocardial ischaemia during tracheal intubation and extubation. Br J Anaesth 1994; 73: 537-9.
3. Roy WL, Edelist G, Gilbert B. Myocardial ischemia during non-cardiac surgical procedures in patients with coronary-artery disease. Anesthesiology 1979; 51: 393-7.
4. Stoelting RK. Blood pressure and heart rate changes during short-duration laryngoscopy for tracheal intubation: influence of viscous or intravenous lidocaine. Anesth Analg 1978; 57: 197-9.
5. Siedlecki J. Disturbances in the function of cardiovascular system in patients following endotracheal intubation and attempts of their prevention by pharmacological blockade of sympathetic system. Anaesth Resusc Intensive Ther 1975; 3: 107-23.
6. Stanley TH, Berman L, Green O, Robertson D. Plasma catecholamine and cortisol responses to fentanyl-oxygen anesthesia for coronary artery operations. Anesthesiology 1980; 53: 250-3.
7. Glass PS, Hardman D, Kamiyama Y, Quill TJ, Marton G, Donn KH, et al. Preliminary pharmacokinetics and pharmacodynamics of an ultra-short-acting opioid: remifentanil (GI87084B). Anesth Analg 1993; 77: 1031-40.
8. Hayashi Y, Maze M. Alpha 2 adrenoceptor agonists and anaesthesia. Br J Anaesth 1993; 71: 108-18
9. Ghignone M, Quintin L, Duke PC, Kehler CH, Cavillo O. Effects of clonidine on narcotic requirements and hemodynamic responses during intubation of fentanyl anesthesia and endotracheal intubation. Anesthesiology 1986; 64: 36-42.
10. Virtanen R, Savola JM, Saano V, Nyman L. Characterization of the selectivity, specificity and potency of medetomidine as an alpha 2-adrenoceptor agonist. Eur J Pharmacol 1988; 150: 9-14.
11. Jaakola ML, Ali-Melkkilä TA, Kanto J, Kallio A, Scheinin H, Scheinin M. Dexmedetomidine reduces intraocular pressure, intubation responses and anaesthetic requirements in patients undergoing ophthalmic surgery. Br J Anaesth 1992; 68: 570-5.
12. Lawrence CJ, De Lange S. Effects of a single pre-operative dexmedetomidine dose on isoflurane requirements and perioperative haemodynamic stability. Anaesthesia 1997; 52: 736-44.
13. Zhang GH, Sun L. Peri-intubation hemodynamic changes during low dose fentanyl, remifentanil and sufentanil combined with etomidate for anesthetic induction. Chin Med J (Engl) 2009; 122: 2330-4.
14. Menda F, Köner O, Sayin M, Türe H, Imer P, Aykaç B. Dexmedetomidine as an adjunct to anesthetic induction to attenuate hemodynamic response to endotracheal intubation in patients undergoing fast-track CABG. Ann Card Anaesth 2010; 13: 16-21.
15. Lee JR, Jung CW, Lee JH, Choi IY, Seo KS, Kim HK, et al. Optimal dose of remifentanil to suppress cardiovascular responses to laryngoscopic endotracheal intubation. Korean J Anesthesiol 2005; 49: 780-5.
16. Min JH, Chai HS, Kim YH, Chae YK, Choi SS, Lee A, et al. Attenuation of hemodynamic responses to laryngoscopy and tracheal intubation during rapid sequence induction: remifentanil vs. lidocaine with esmolol. Minerva Anesthesiol 2010; 76: 188-92.
17. Segal IS, Vickery RG, Walton JK, Doze VA, Maze M. Dexmedetomidine diminishes halothane anesthetic requirements in rats through a postsynaptic alpha 2 adrenergic receptor. Anesthesiology 1988; 69: 818-23.
18. Aho M, Lehtinen AM, Erkola O, Kallio A, Korttila K. The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy. Anesthesiology 1991; 74: 997-1002.
19. Aantaa R, Kanto J, Scheinin M, Kallio A, Scheinin H. Dexmedetomidine, an alpha 2-adrenoreceptor agonist, reduces anesthetic requirements for patients undergoing minor gynecologic surgery. Anesthesiology 1990; 73: 230-5.
20. Dutta S, Karol MD, Cohen T, Jones RM, Mant T. Effect of dexmedetomidine on propofol requirements in healthy subjects. J Pharm Sci 2001; 90: 172-81.
21. Kallio A, Scheinin M, Koulu M. Effects of dexmedetomidine, a selective alpha 2-adrenoceptor agonist, on hemodynamic control mechanisms. Clin Pharmacol Ther 1989; 46: 33-42.
22. Jalonen J, Hynynen M, Kuitunen A, Heikkila H, Perttila J, Salmenpera M, et al. Dexmedetomidine as an anesthetic adjunct in coronary artery bypass grafting. Anesthesiology 1997; 86: 331-45.
23. Saǧiroǧlu AE, Celik M, Orhon Z, Yüzer S, Sen B. Different doses of dexmedetomidine on controlli{dotless}ng haemodynami{dotless}c responses to tracheal intubati{dotless}on. The Internet Journal of Anesthesiology 2010 Vol. 27 Number 2. Available from http://www.ispub.com/journal/ the-internet-journal-of-anesthesiology/volume-27-number-2/ d-fferent-doses-of-dexmedetomidine-on-controll-ng-haemodynam-c-responses-to-tracheal-intubat-on.html.
24. Kunisawa T, Nagata O, Nagashima M, Mitamura S, Ueno M, Suzuki A, et al. Dexmedetomidine suppresses the decrease in blood pressure during anesthetic induction an blunts the cardiovascular response to tracheal intubation. J Clin Anesth 2009; 21: 194-9.
25. Bloor BC, Ward DS, Belleville JP, Maze M. Effects of intravenous dexmedetomidine in humans. II. Hemodynamic changes. Anesthesiology 1992; 77: 1134-42.
26. Hall JE, Uhrich TD, Barney JA, Arain SR, Ebert TJ. Sedative, amnestic, and analgesic properties of small-dose dexmedetomidine infusions. Anesth Analg 2000; 90: 699-705.
27. Erkola O, Korttila K, Aho M, Haasio J, Aantaa R, Kallio A. Comparison of intramuscular dexmedetomidine and midazolam premedication for elective abdominal hysterectomy. Anesth Analg 1994; 79: 646-53.
28. Keniya VM, Ladi S, Naphade R. Dexmedetomidine attenuates sympathoadrenal response to tracheal intubation and reduces perioperative anaesthetic requirement. Indian J Anaesth 2011; 55: 352-7.
29. Misiolek H, Wojcieszek E, Dyaczynska-Herman A. Comparison of influence of thiopentone, propofol and midazolam on blood serum concentration of noradrenaline and cortisol in patients undergoing non-toxic struma operation. Med Sci Monit 2000; 6: 319-24.
30. Basar H, Akpinar S, Doganci N, Buyukkocak U, Kaymak C, Sert O, et al. The effects of preanesthetic, single-dose dexmedetomidine on induction, hemodynamic and cardiovascular parameters. J Clin Anesth 2008; 20: 431-6.