Health Condition 1: -
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Elective surgery Age 18 years to 60 years Current smokers Controlled hypertension (For Group A) The American society of Anesthesiologists [ASA] Physical status I, II.
Exclusion criteria
Exclusion criteria: Ischemic Heart disease, Valvular heart disease , Arrhythmias Anticipated difficult airway Known autonomic neuropathy Patients on beta blockers BMI more than or equal to 35kg per m2 History of opioid use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the ED90 and ED50 of intravenous fentanyl for blunting the hemodynamic response (heart rate and mean arterial pressure) to laryngoscopy and intubation in smokers with and without hypertension designed as group A and group B respectively.Timepoint: Mean arterial pressure and heart rate will be recorded at predefined time points. Baseline values will be taken as the average of two readings recorded at 1 minute and 2.5 minutes after arrival in the operating room. Measurements will also be recorded after fentanyl administration at 1 and 2 minutes, immediately before laryngoscopy, and after intubation at 1, 2 minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare hemodynamic parameters during intubation between hypertensive & non hypertensive smokers. Timepoint: Hemodynamic parameters such as SBP,DBP,MAP,HR,SpO2 are recorded after fentanyl administration at 1 & 2 minutes, immediately before laryngoscopy & after intubation at 1, 2,5,10 minutes. ;To compare the incidence of adverse events as Arrhythmia, bradycardia, hypotension, desaturation, cough, bronchospasm during induction between the groups.Timepoint: Adverse events will be monitored from the time of fentanyl administration & subsequent intubation until the time of surgical incision. | — |
Countries
India
Contacts
Jawaharlal institute of postgraduate medical education and research,puducherry