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 87
- Downloads 0
Laparoscopic total extra peritoneal versus open Lichtenstein repair of inguinal hernia: a comparative analysis
BACKGROUND: Inguinal hernia repair is a commonly performed surgery usually managed by open surgical mesh repair. Nowadays many patients are demanding laparoscopic hernia repair, which has a shorter rehabilitation, but it...
Assessment of Socio-Demographic Profile among the Victims of Firearm Injuries, at sms Hospital, Jaipur During the Year 2014-2015
BACKGROUND: Firearm injury is a global problem and causes considerable problems in a developing country like ours, where poverty and violence are common. AIMS AND OBJECTIVE: To assess the load and analyze the cases of fi...
Surgical Management of Blunt Abdominal Trauma Study of 50cases
BACKGROUND: Due industrial and automobile growth, incidents of accidental injuries are increasing with time and blunt abdominal injury is one of the common modes of injury in such accidents. It is also a common mode of i...
Study on Surgical Management of Fracture Shaft Of Humerus By Interlocking Nail
ABSTRACT BACKGROUND: Operative management of fracture shaft of humerus can be with plate osteosynthesis or with intromedullary nailing. In this study we have tried to analyze the outcome in terms of time for consolidatio...
Role of Peripheral smear in early diagnosis of neonatal septicaemia: A three year study at P.D.U. Medical College, Rajkot
BACKGROUND: A study of 120 neonates with clinical suspicion of septicemia, admitted in neonatal intensive care unit of K. T. Sheth Children Hospital, Rajkot was carried out to study the role of peripheral smear, to ev...