Open AccessComparison of Nalbuphine and Midazolam on the cardiovascular response to Laryngoscopy and intubation
Author(s) -
Naila Asad,
Khawar Ali,
Mazhar Iqbal,
Abdul Qayyum
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v11i3.1014
Subject(s) - nalbuphine , laryngoscopy , medicine , midazolam , anesthesia , intubation , premedication , haemodynamic response , saline , tracheal intubation , sedation , heart rate , blood pressure , opioid , receptor
Objective: To compare the effects of nalbuphine and midazolam on cardiovascular response to laryngoscopy and intubation -during induction of anaesthesia. Method: Ninety adult male patients of ASA I or II status were included and divided into three equal g roups. Group I was control in which 3ml of saline was given. Group II received nalbuphine 75 ug/kg and Group III received midazolam 30 ug/kg. The cardiovascular response was evaluated at laryngoscopy and every minute after intubation for three minutes.The results were analysed statistically by ANOVA.p<0.05 was taken significant. Results: A decrease in HR, SBP, DBP, MAP was seen after three minutes in Group II and III but the decrease was more pronounced in Group II.(p<0.05) Conclusion: Premedication with nalbuphine 75gg/kg is more effective than midazolam in blunting the haemodynamic response to laryngoscopy and intubation.