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Effects of different dosages of oxycodone and fentanyl on the hemodynamic changes during intubation

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Author(s)
Ki-Bum ParkJunggun AnnHaemi Lee
Keimyung Author(s)
Park, Ki Bum
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Saudi Medical Journal
Issued Date
2016
Volume
37
Issue
8
Abstract
Objectives:
To investigate the effectiveness of oxycodone compared with fentanyl for attenuating the hemodynamic response during endotracheal intubation.

Methods:

This study was conducted from June 2014 to February 2015 on healthy adults undergoing general anesthesia at the Yeungnam University Hospital, Daegu, Republic of Korea. Ninety-five patients were randomly assigned to one of 3 groups to receive the following drugs; Group F: fentanyl 2 µg/kg; Group O/70: oxycodone 140 µg/kg; Group O/100: oxycodone 200 µg/kg. Five minutes after injection of the study drug, general anesthesia was induced with propofol 1.5 mg/kg and rocuronium 0.8 mg/kg. The mean blood pressure (MBP), heart rate (HR), peripheral oxygen saturation (SpO2), and bispectral index (BIS) were compared before administration of the study drug (T1), just before endotracheal intubation (T2), one minute after endotracheal intubation (T3), and 7.5 minutes after endotracheal intubation (T4). Complications were assessed.


Results:

The 2 oxycodone groups showed no significant differences in MBP, HR, SpO2, and BIS compared to Group F at the time points assessed. The incidence of complications was comparable among the groups.


Conclusions:

Oxycodone could successfully be used to attenuate the sympathetic response during anesthetic induction. The hemodynamic profiles and incidence of complications were clinically similar among the groups, but Group O/70 tended to show a lower rate of complications of apnea.
Keimyung Author(s)(Kor)
박기범
Publisher
School of Medicine
Citation
Ki-Bum Park et al. (2016). Effects of different dosages of oxycodone and fentanyl on the hemodynamic changes during intubation. Saudi Medical Journal, 37(8), 847–852. doi: 10.15537/smj.2016.8.14822
Type
Article
ISSN
0379-5284
DOI
10.15537/smj.2016.8.14822
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32561
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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