14Apr 2020

A COMPARATIVE STUDY OF 10% XYLOCAINE SPRAY AND NITROGLYCERINE SPRAY ON CARDIOVASCULAR RESPONSES TO LARYNGOSCOPY AND INTUBATION UNDER GENERAL ANAESTHESIA

  • Professor and Medical Superintendent, Department Of Anaesthesia, Critical Care and Perioperative Medicine, Rama Medical College Hospital & Research Centre, Pilkhuwa, Hapur, U.P. PIN 245304.
  • Associate Professor, Department Of Surgery, Rama Medical College Hospital and Research Centre, Pilkhuwa, Hapur U.P. PIN 245304.
  • Professor & HOD, Department of ENT, Rama Medical College Hospital and Research Centre, Hapur (U.P).
  • Associate Professor, Department Of Anaesthesia, Critical Care and Peri-operative Medicine, Rama Medical College Hospital & Research Centre, Pilkhuwa, Hapur, U.P.
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The procedure of laryngoscopy and intubation is an integral part of modern-day balanced anaesthesia. It is also the most delicate phase in general anaesthesia. It is performed for most of the major and some minor surgical procedures. The procedure of direct laryngoscopy and intubation is associated with significant hemodynamic changes such as increase in heart rate, arterial pressure and dysrhythmias in up to 90% of the patients. These changes are sometimes fatal if not taken care in time. Various intravenous, sublingual or locally effecting drugs have been used to blunt these adverse effects. Xylocaine 10% spray locally at laryngotracheal mucosa and 0.8mg nitroglycerine intranasal spray is an effective procedure to reduce the exaggerated cardiovascular response. Among these xylocaine is ideal for attenuating the cardiovascular response to laryngoscopy and intubation under general anaesthesia.

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[Surendra Kumar, Desh Pal Singh, Hukam Singh and Ratan Kumar Choudhary (2020); A COMPARATIVE STUDY OF 10% XYLOCAINE SPRAY AND NITROGLYCERINE SPRAY ON CARDIOVASCULAR RESPONSES TO LARYNGOSCOPY AND INTUBATION UNDER GENERAL ANAESTHESIA Int. J. of Adv. Res. 8 (Apr). 635-643] (ISSN 2320-5407). www.journalijar.com

Dr. Desh Pal Singh
Associate Professor, Department Of Surgery, Rama Medical College Hospital and Research Centre, Pilkhuwa, Hapur U.P. PIN 245304

DOI:

Article DOI: 10.21474/IJAR01/10821      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10821

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