Blunting hemodynamic response to tracheal intubation #anesthesia

2% Lidocaine HCl preparation, pre-filled AbboJ...
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https://secure.muhealth.org/~ed/students/articles/AnesthAnalg_72_p0482.pdf

This is an older study done that looked at placebo, lidocaine, fentanyl, and esmolol to blunt the effects of tracheal intubation/DL that typically occurs with it.  They looked at MAP/SBP and HR.  From their data, it appears that esmolol is the winner.  However, the doses of medication were not titrated to body weight.  It seems that everyone got the same dose.  Also, looks like everyone received pancuronium, a nice cardioaccelerator.  But, for what it’s worth, I can see using esmolol on pt’s who need perfect HR/BP control and no CHF.

Author: Kris

Grew up in a small Texas town. Heavily involved in extracurricular activities: piano, violin, dance (ballet/jazz/tap), tennis, horseback riding (english/western), taekwondo, basketball, soccer, volleyball, percussion, drumline, orchestra, band, mascot, pageants. I had the typical Tiger Mom upbringing. Went to college, medical school, residency, and fellowship. Amidst the ups and downs of life, allow me to share with you my journey...as an "ordinary" person who happens to be an MD.

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