Combined use of esmolol and nicardipine to blunt the haemodynamic changes following laryngoscopy and tracheal intubation

P. H. Tan*, L. C. Yang, H. C. Shih, C. R. Lin, K. C. Lan, C. S. Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

30 Scopus citations

Abstract

We examined the effect of different combinations of esmolol and nicardipine upon the circulatory response to tracheal intubation. One hundred patients were randomly allocated into five groups of twenty to receive pretreatments of saline or different combinations of esmolol (0.5 or 1.0 mg.kg-1) and nicardipine (15 or 30 μg.kg-1). Significant tachycardia persisted over a 5-min period after intubation in all five groups compared with baseline levels (p < 0.05). Patients receiving esmolol 1.0 mg.kg-1 and nicardipine 30 μg.kg-1 showed no significant change in systolic blood pressure after tracheal intubation compared with baseline and significant lower peak systolic blood pressure than those receiving saline (p = 0.023).

Original languageEnglish
Pages (from-to)1207-1212
Number of pages6
JournalAnaesthesia
Volume57
Issue number12
DOIs
StatePublished - 01 12 2002
Externally publishedYes

Keywords

  • Calcium-channel blockers: nicardipine
  • Intubation: tracheal
  • Sympathetic nervous system: α adrenergic antagonists, esmolol

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