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July 2, 2019Journal of Evidence Based Medicine and Healthcare0 citationsOpen Access

Comparative Study of Haemodynamic Changes During Induction of General Anaesthesia: Propofol Versus Etomidate

KAKrishnanakutty Saradas AshaMNManohar Neethu

Key Result

Etomidate provided better haemodynamic stability during induction and 10 minutes post-intubation compared to propofol in patients undergoing surgeries under general anaesthesia.

Study Design

Type

Observational

Structured PICO

Does etomidate improve haemodynamic stability compared to propofol during induction of general anaesthesia in patients undergoing surgeries?

P
Population
Patients undergoing surgeries under general anaesthesia with endotracheal intubation
E
Exposure
Intravenous etomidate for induction of general anaesthesia
C
Comparator
Intravenous propofol for induction of general anaesthesia
O
Outcome
Haemodynamic stability (heart rate, blood pressure, diastolic blood pressure, and mean arterial pressure) during and 10 minutes post induction and intubationsurrogate

Etomidate provides better haemodynamic stability than propofol during induction of general anaesthesia.

Abstract

BACKGROUND of general anaesthesia is a critical part of anaesthesia practice. An ideal inducing agent for general anaesthesia should haemodynamic stability, minimal respiratory side effects and rapid clearance. Sudden bronchospasm, hypotension, , respiratory depression and cardiovascular collapse are life threatening complications following induction. It is to use a safe agent with fewer adverse effects for this purpose. We wanted to compare the haemodynamic responses inducing with intravenous propofol versus etomidate utilizing the standard methods for the drugs. ideal induction agent for general anaesthesia should have haemodynamic stability, minimal respiratory side effects and rapid. Presently there are a number of induction agents available. Thiopental is the conventional induction agent discovered 1934 by John S. Lundy, known for rapid action and rapid awakening, 1 has an additional property of decreasing ICP in cases. Studies have showed that it causes peripheral vasodilatation, decrease in blood pressure, increase in heart and has direct negative ionotropic effect on heart. responses measured were heart rate, blood pressure, diastolic blood pressure and MAP. In our study, we found that, who received etomidate, when compared to propofol group, were haemodynamically stable during and 10 minutes induction and intubation. provides better haemodynamic stability during induction than propofol, in patients undergoing surgeries, under anaesthesia with endotracheal intubation.

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Cite This Study

Asha et al. (2019) conducted an observational in Patients undergoing surgeries under general anaesthesia. Etomidate vs. Propofol was evaluated on Haemodynamic stability (heart rate, blood pressure, diastolic blood pressure and MAP). Etomidate provided better haemodynamic stability during induction and 10 minutes post-intubation compared to propofol in patients undergoing surgeries under general anaesthesia.

synapsesocial.com/papers/6a7f301363e03285017c9e99https://doi.org/10.18410/jebmh/2019/373
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