Document Detail


Effects of clonidine on anesthetic drug requirements and hemodynamic response during aortic surgery.
MedLine Citation:
PMID:  2502935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors studied in a double-blind placebo-controlled study the effects of oral preoperative administration of 5 micrograms/kg clonidine upon the alfentanil and droperidol requirements, hemodynamic lability, distribution of the values of heart rate and blood pressure, and plasma noradrenaline levels, in two groups of ten normotensive patients undergoing infrarenal aortic surgery. The amounts of alfentanil supplementing a standardized continuous infusion, injected to maintain hemodynamic stability, were statistically identical between the groups (P = 0.23). The amount of droperidol, however, was significantly less (P = 0.004) in the group of patients that received clonidine. The norepinephrine plasma concentrations, during the entire procedure, were lower (P = 0.001) in the clonidine group. The variability of the heart rate, systolic (SBP) and diastolic (DBP) blood pressure recorded every 5 s, and assessed by the calculation of the coefficients of variation for each patient, showed no difference between the clonidine and the placebo group. However, when the values recorded were compared to the preoperative baseline values, and divided into three categories (baseline +/- 20%--greater than 20% decrease vs. baseline--greater than 20% increase vs. baseline), the clonidine group showed a higher frequency of low heart rate and fewer episodes of tachycardia. The frequency of SBP hypertension was lower and of SBP hypotension higher in the clonidine group. After induction of anesthesia, but before surgery, there were more episodes of DBP hypotension in the clonidine group, but during dissection and vascular sutures the placebo group experienced more episodes of DBP hypotension, owing probably to the greater amount of droperidol injected. The authors conclude that the preoperative administration of clonidine decreased the need to supplement anesthetic, and modifies the profile of distribution of heart rate and blood pressure.
Authors:
E Engelman; M Lipszyc; E Gilbart; P Van der Linden; B Bellens; A Van Romphey; M de Rood
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Anesthesiology     Volume:  71     ISSN:  0003-3022     ISO Abbreviation:  Anesthesiology     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-09-01     Completed Date:  1989-09-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1300217     Medline TA:  Anesthesiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  178-87     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Hopital Erasme, Bruxelles, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Aged
Alfentanil
Anesthesia, Intravenous*
Anesthetics
Aorta / surgery*
Blood Pressure / drug effects
Clinical Trials as Topic
Clonidine / pharmacology*
Double-Blind Method
Droperidol*
Fentanyl / analogs & derivatives*
Heart Rate / drug effects
Hemodynamics / drug effects*
Humans
Intraoperative Period
Middle Aged
Norepinephrine / blood
Preanesthetic Medication*
Random Allocation
Chemical
Reg. No./Substance:
0/Anesthetics; 4205-90-7/Clonidine; 437-38-7/Fentanyl; 51-41-2/Norepinephrine; 548-73-2/Droperidol; 71195-58-9/Alfentanil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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