Comparison of Low dose Labetalol Versus Low dose Lignocaine for Attenuation of Pressure Response During Intubation Under General Anaesthesia
Muhammad Sharif, Muhammad Arif Baloch, Nazeer Ahmed, Zafarullah, Yasir Reda Toble
3703
ABSTRACT
Objective: To
compare the mean heart rate (HR) and mean arterial pressure (MAP) after 5
minutes post intubation with low dose Labetalol versus low dose Lignocaine
during intubation under general anaesthesia.
Patients and Methods: A total number of 60 patients with age 18-40 years who
were planned for elective surgery under general anesthesia were included in
this comparative study. There were two equal groups; in group A patients
0.25mg/Kg intravenous labetalol was given 5 minutes before intubation, in group
B patients, intravenous Lignocaine 1 mg/Kg was given. MAP and HR were noted at
baseline and after 5 minutes of intubation.
Results: Mean
age 31.03±6.34 years. Mean weight of patients was 67.45±10.60 kgs. There were
537 (61.67%) male patients and 23 (38.33%) female patients. Heart rate at 5
minutes post intubation in patients with labetalol group was 78.43±6.41
beats/min versus 88.37±6.73 beats/min in patients in lignocaine group (p-value
<0.001). MAP at 5 minutes post intubation in patients with labetalol group
was 94.20±6.12 mm of Hg and 103.00±4.41 mm of Hg in patients in lignocaine
group (p-value of <0.001).
Conclusion: Increases
in hemodynamic variables are always linked with laryngoscopy and endotracheal
intubation. To reduce the effects of endotracheal intubation on patients having
general anesthesia, labetalol is a safe and effective medication.
Keywords:
tracheal intubation, Labetalol, Lignocaine, Mean arterial pressure, heart rate.