Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  4, Issue 3, Jul-Sep 2017, Pages 753-759
 

Original Article

Use of Oral Clonidine for Attenuation of Pressor Response of Laryngoscopy and Intubation Associated with IV Ketamine Induction

Dabade Vaishali V.1, Karande Anuradha S.2

1Assistant Professor, 2Associate Professor Dept. of Anaesthesia, Ashwini Rural Medical College Hospital and Research Centre, Kumbhari, Maharashtra 413006, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.33

Abstract

Background: Premedication is used to provide sedation and anxiolysis and to enhance the quality of induction, maintenance and recovery from anaesthesia. The present study was carried out to study the pressor responses to laryngoscopy and intubation during induction with ketamine and scoline, using prior diazepam and clonidine as premedication. Method: A total of 60 normotensive patients of ASA grade I of both genders, aged 20 to 50 years, were randomized for this prospective study and divided into two groups of 30 patients each. Group I patients received Tab. Diazepam 0.2 mg/kg body weight and Group II patients received Tab. Clonidine 3 microgram/kg body weight. Both groups were assessed for changes in pulse rate, blood pressure and sedation. Scoring was taken every 15 minutes after giving this medication till induction. Result: The pulse rate rise, systolic blood pressure and diastolic blood pressure were more in control group as compared to clonidine group. There was statistically significant difference between mean pulse rate change, systolic blood pressure and diastolic blood pressure of both the groups during 1st min of intubation. And also there was significant difference between the two groups for sedation score (p<0.001) and pain score (p<0.001). Conclusion: Oral clonidine premedication 3 microgram/kg body weight given 90 minutes prior to induction of anaesthesia with ketamine is an effective and safe method for controlling the rise in pulse rate and rise in blood pressure associated with laryngoscopy and intubation. It also gives adequate analgesia in the immediate postoperative period without undue sedation.


Keywords : Clonidine; Ketamine; Laryngoscopy; Hemodynamic Response. 
Corresponding Author : Dr. Karande Anuradha, Associate Professor, Dept. of Anaesthesia, Ashwini Rural Medical College Hospital and Research Centre, Kumbhari, Maharashtra 413006, India.