Comparison of the effects of different doses of cisatracurium on appropriate time for endotracheal intubation and hemodynamic changes during anesthesia

Shahram Amini; Ali A. Akramifard; Masoud Roudbari

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Comparison of the effects of different doses of cisatracurium on appropriate time for endotracheal intubation and hemodynamic changes during anesthesia

Author(s):

Shahram Amini^1,*,

Ali A. Akramifard²,

Masoud Roudbari³

1Associate Professor of Anesthesiology, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran

2Anesthesiologist, Zahedan, Iran.

3Associate Professor of Biostatistics, Tehran University of Medical Sciences and Health Services, Tehran, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 13, issue 7; e93814

Published online:May 26, 2011

Article type:Research Article

Received:Sep 12, 2010

Accepted:Oct 12, 2010

How to Cite:Amini S, Akramifard AA, Roudbari M. Comparison of the effects of different doses of cisatracurium on appropriate time for endotracheal intubation and hemodynamic changes during anesthesia. Zahedan J Res Med Sci. 2011;13(7):e93814. doi:

Abstract

Background: Cisatracurium is used to facilitate endotracheal intubation. However, conventional doses have slow onset time. The higher doses of this drug may eliminate this problem but may be associated with significant hemodynamic changes. The present study was designed to compare the effects of three doses of cisatracurium (0.15, 0.20, and 0.25 mg/kg) on hemodynamic parameters and the appropriate time required for endotracheal intubation.

Materials and Method: One hundred and twenty three patients, aged 20-40 years old with ASA class 1 or 2 were randomly allocated to receive one of the cisatracurium doses: 0.15 mg/kg 0.20 mg/kg and 0.25 mg/kg. After induction of anesthesia, the mean arterial pressures and pulse rates were measured at the baseline, after induction of anesthesia, and after endotracheal intubation at one minute interval for 5 minutes. The appropriate time for intubation (time of achieving TOF=0 and PTC=0) and TOF recovery after administration of cisatracurium, were also measured and compared accordingly.

Results: After induction of anesthesia, the patients of all three groups showed a significant decrease in their mean arterial pressures (p < 0.001). We also noticed a drop in pulse rates (p>0.05). The changes were more marked in the 0.15 mg/kg, 0.25 mg/kg, and 0.20 mg/kg group, respectively. However, these changes were not clinically significant and did not require any intervention. The time required for endotracheal intubation (to achieve TOF=0) in 0.15, 0.20 and 0.25 mg/k-group were 191.50±35.16, 145.40±25.08 and 100.20±25.59 seconds, respectively (p < 0.001). The time of TOF recovery in 0.15, 0.20 and 0.25 mg/kg-group were 2696.20±324.25, 3422.20 ±253.00 and 3378.90 ±626.15 seconds respectively (p< 0.001).

Conclusion: We concluded that doses of 0.20 and 0.25 mg/kg in comparison to 0.15 mg/kg of cisatracurium provide a shorter time required for endotracheal intubation but are associated with more significant changes in blood pressure and pulse rates. However, these changes are not clinically significant and need no intervention

Keywords

Cisatracurium

endotracheal intubation

hemodynamics

neuromuscular blockade

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References

1.
The References of this article are available on the PDF file.

The Effect of Tourniquet Inflation Time on the Pharmacodynamics of Cisatracurium During Surgery: A Randomized Clinical Trial

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2014

Comparison of the Incidence of Sore Throat After Rapid Sequence Intubation With Succinylcholine and Cisatracurium

Farhad Solatpour,

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2024

Effect of Etomidate Versus Midazolam-Sodium Thiopental on Attenuating the Cardiovascular Response to Laryngoscopy and Tracheal Intubation

Hamidreza Shetabi,

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2022

Effects of Fentanyl Versus Remifentanil Pretreatment on the QTc Interval in Patients Undergoing Rapid Sequence Intubation: A Randomized Clinical Trial

Seyedpouya Paknezhad,

Elaheh Serati,

Robab Mehdizadeh Esfanjani,

Maryam Soleimanpour,

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Paknezhad S, Serati E, Mehdizadeh Esfanjani R, Soleimanpour M, Soleimanpour H. Effects of Fentanyl Versus Remifentanil Pretreatment on the QTc Interval in Patients Undergoing Rapid Sequence Intubation: A Randomized Clinical Trial. Anesth Pain Med. 2022;12(5):e131184. doi: https://doi.org/10.5812/aapm-131184

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2024

Assessing the Optimal Dose of Mivacurium for Modified Rapid Sequence Intubation in Emergency Surgical Settings: A Randomized, Double-Blind Trial

Saad Ahmed Moharam,

Ismail Mohamed Abdelgawad Ahmed,

Ahmed Mahmoud Elgarhy,

Sameh Hamdy Abdelhamid Seyam,

Mohammed Talal Almalki,

Mohammed Said ElSharkawy

Moharam SA, Ahmed IMA, Elgarhy AM, Seyam SHA, Almalki MT, et al. Assessing the Optimal Dose of Mivacurium for Modified Rapid Sequence Intubation in Emergency Surgical Settings: A Randomized, Double-Blind Trial. Anesth Pain Med. 2024;14(5):e153629. doi: https://doi.org/10.5812/aapm-153629

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Author(s):

Shahram Amini:[PubMed][Scholar]
Ali A. Akramifard:[PubMed][Scholar]
Masoud Roudbari:[PubMed][Scholar]

The Official Journal of Zahedan University of Medical Sciences

Outlines

Comparison of the effects of different doses of cisatracurium on appropriate time for endotracheal intubation and hemodynamic changes during anesthesia

Abstract

Fulltext

References

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