Effects of Intravenous Lidocaine on Intra-abdominal Pressure during Endotracheal Suctioning / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 224-228, 1998.
Article
en Ko
| WPRIM
| ID: wpr-656571
Biblioteca responsable:
WPRO
ABSTRACT
BACKGOUND: We evaluated the effect of intravenous lidocaine (1 mg/kg and 2 mg/kg) on intra-abdominal pressure (IAP) during endotracheal suctioning. METHODS: We studied 40 patients undergoing endotracheal intubation during mechanical ventilation. Group I (1 mg/kg) and group II (2 mg/kg)were given lidocaine double fashion. The endotracheal suctioning (ETS) was done 1, 3, 5 and 7 min after the injection of lidocaine. IAP, systolic blood pressure (SBP), diastolic blood preassure (DBP), and heart rate (HR) during ETS were recorded, IAP was measured using a transurethral bladder catheters. The cough response to ETS was classified as " cough score". RESULTS: Before administration of lidocaine, ETS produced significant increase in SBP, DBP, IAP and HR compared with baseline values in the two groups (p<0.05). Both groups showed no significant changes in SBP, DBP, and HR during the study. In group I, ETS produced a significant increase in IAP 5 and 7min after lidocaine treatment (p<0.05). There were significant differences between the two groups 5 and 7 min after lidocaine treatment (p<0.05). The score of cough decreased significantly in both groups 3 min after lidocaine treatment but there was a significant difference between the two groups at 7 min. CONCLUSIONS: We concluded that lidocaine pretreatment significantly blunted the increase in IAP, SBP DBP and HR caused by ETS and this effect lasts for 3 min in group I and 7 min in group II.
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Texto completo:
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Índice:
WPRIM
Asunto principal:
Respiración Artificial
/
Succión
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Tráquea
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Vejiga Urinaria
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Presión Sanguínea
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Tos
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Catéteres
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Frecuencia Cardíaca
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Intubación Intratraqueal
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Anestésicos
Límite:
Humans
Idioma:
Ko
Revista:
The Korean Journal of Critical Care Medicine
Año:
1998
Tipo del documento:
Article