The effects of nicardipine or esmolol on the onset time of rocuronium and intubation conditions during rapid sequence induction: a randomized double-blind trial

Autor: Kye Hyeok Lee, Yunkwang Kim, Cheong Lee, Ji-Yeon Lee, Ji Heui Lee, Sung Kyu Rim
Rok vydání: 2014
Předmět:
Zdroj: Journal of Anesthesia. 29:403-408
ISSN: 1438-8359
0913-8668
DOI: 10.1007/s00540-014-1940-5
Popis: The main aims of rapid sequence induction (RSI) are prompt and adequate muscle relaxation for tracheal intubation and hemodynamic stability during and after intubation. The purpose of the present study was to investigate the effects of nicardipine and esmolol on the action of rocuronium and intubation conditions during RSI. Adult patients (n = 82) were randomly allocated to one of three groups. One minute prior to the induction of sevoflurane-based general anesthesia, patients received 20 μg/kg of nicardipine (N group; n = 27) or 0.5 mg/kg of esmolol (E group; n = 27), or 5 ml of saline (C group; n = 28). Patients were assessed according to intubation conditions, the onset time of rocuronium, mean arterial pressure (MAP), and heart rate (HR) during RSI. The intubation conditions and score were significantly better in the C and N groups than in the E group (P
Databáze: OpenAIRE