Effects of Intravenous Lidocaine on Intra-abdominal Pressure during Endotracheal Suctioning / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 224-228, 1998.
Article
Dans Coréen
| WPRIM
| ID: wpr-656571
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ventilation artificielle
/
Aspiration (technique)
/
Trachée
/
Vessie urinaire
/
Pression sanguine
/
Toux
/
Cathéters
/
Rythme cardiaque
/
Intubation trachéale
/
Anesthésiques
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
The Korean Journal of Critical Care Medicine
Année:
1998
Type:
Article
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