Controle des variations hemodynamiques secondaires a la microlaryngoscopie en suspension. [Control of hemodynamic variations secondary to suspension microlaryngoscopy]

Détails

ID Serval
serval:BIB_E848C895D5EC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Controle des variations hemodynamiques secondaires a la microlaryngoscopie en suspension. [Control of hemodynamic variations secondary to suspension microlaryngoscopy]
Périodique
Tunisie Médicale
Auteur(s)
Boussofara  M., Braco  D., Kaddour  C., Nafaa  M. N., Iarbi  O., Ravussin  P., Ladgham  A.
ISSN
0041-4131
Statut éditorial
Publié
Date de publication
10/2001
Volume
79
Numéro
10
Pages
503-7
Notes
Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial --- Old month value: Oct
Résumé
The objective was to evaluate the clinic interest of the esmolol in the attenuation of the hemodynamic response to suspension microlaryngoscopy (mls). It was a prospective, randomized and double blind study, having included 29 patient ASA II and III, distributed in two groups, having received respectively before laryngoscopy: group A (n = 15), esmolol in intravenous (i.v.) at the dose of 150 micrograms.kg-1 and DS group (n = 14), 10 ml of normal saline at 0.9%. Has been achieved a general anaesthesia i.v. based on propofol, fentanyl and atracurium. After tracheal intubation, it has been assured an artificial ventilation. The two groups were comparable for the demographic and anesthetic characteristics. A significant decrease of the mean arterial pressure (-11%) and of the prp (product systolic arterial pressure heart rate) have been raised during the mls, in the group esmolol, whereas the variations of the cardiac frequency were comparable. In order to assure a better hemodynamic control during the mls, it seems important, in addition to the adjustment of the recommended dose of esmolol, to cover the whole duration of the endoscopic act by a continuous drip.
Mots-clé
Adrenergic beta-Antagonists/administration & dosage/*pharmacology Adult Aged Blood Pressure/*drug effects Double-Blind Method Female Heart Rate/*drug effects Humans Infusions, Intravenous Laryngoscopy/*adverse effects/methods Male Middle Aged Propanolamines/administration & dosage/*pharmacology Prospective Studies
Pubmed
Création de la notice
17/01/2008 16:20
Dernière modification de la notice
20/08/2019 16:11
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