A Study on Hemodynamic Parameters Stability by Rocuronium Bromide during Anaesthesia for Elective Surgical Procedures in a Tertiary Care Hospital
Journal Title: International Journal Of Research In Medicine - Year 2017, Vol 6, Issue 4
Abstract
BACKGROUND AND OBJECTIVES: Hemodynamic stability is an important aspect of anaesthesia care. Anaesthesia has tendency to produce significant hemodynamic changes especially during induction and intubation. Intravenous Rocuronium bromide is a relatively new steroidal intermediate acting non-depolarising neuromuscular blocking agent with a faster onset of action. METHODS: Fifty patients in the age group of 15-60 years of either sex who belongs to ASA physical status I or II were included in the study. Patients posted for general surgeries and ENT surgeries of intermediate duration were studied. Induction of anaesthesia was done with inj. thiopentone sodium 5-7 mg/kg iv and neuromuscular blockade was achieved immediately with inj. rocuronium bromide 0.6 mg/kg iv. Hemodynamic parameters were noted at the time of laryngoscopy and intubation. RESULTS: The Mean + SD for age is 26.72 + 9.59 years and for weight it is 52.72 + 10.18 kilograms. In our study 54% of the patients were males and 46% of the patients were females. Mean + SD for duration of surgery is 74.4 + 23.91 minutes. It was found that all the hemodynamic parameters were reduced from baseline till laryngoscopy than there was mild rise during intubation and after that it was again reduced. It was reducing till 45-60 minutes post intubation. CONCLUSION: It was concluded that there was no statistically significant increase in pulse rate, systolic and diastolic arterial blood pressure following intravenous rocuronium bromide administration. Rocuronium bromide can therefore be advocated as the drug of choice in elective as well as in emergency ENT and general surgery where rapid intubation will be beneficial without compromise of hemodynamic stability.
Authors and Affiliations
Hardik Z Patel, Avruti R Kacha
Keywords
Related Articles
- EP ID EP448412
- DOI -
- Views 106
- Downloads 0
Correlation of Neck shaft angle of femur with Age: A Radiographic study
BACKGROUND: The knowledge of the angle of inclination is a valuable aid in the diagnosis and treatment of the fractures of upper end of femur. Neck-shaft angle is defined as the angle formed by the neck axis and long axi...
Porcelain Gall Bladder: A Rare Surgical Entity
BACKGROUND: Porcelain gallbladder is an uncommon manifestation of chronic cholecystitis, characterized by intramural calcification of the gallbladder wall.1 The term "porcelain gallbladder" is used to describe the bluish...
Electroconvulsive Therapy in Patients of Acute Mania Admitted in General Hospital
BACKGROUND: Despite the introduction of new psychotropic and mood stabilizers, in India, Electroconvulsive therapy (ECT) is widely used in treatment of mania. We intended to study clinical factors and outcome in patients...
Study of Clinical Profile of 70 Cases of Hypertension in Pregnancy
BACKGROUND AND OBJECTIVES: Hypertensive disorders of pregnancy & their complications are one of the most common cause of maternal morbidity in world. In India the incidence of Hypertension is reported to be 8-10% of the...
Sickle Cell Disease: Prevalence, Clinical Presentation and Prognosis in Tribes; Current Concepts and Unanswered Question
BACKGROUND: Sickle cell Disease is one of the most common severe monogenic disorder in the world. It is characterized by intermittent Vasoocclusive events and chronic Hemolytic Anemia. Patients clinically present with ea...