INTRAOCULAR PRESSURE AFTER INJECTION OF LIDOCAINE AND FENTANYL FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION

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KASHANI S.; MOEIN VAZIRI M.T.

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Journal: Hormozgan Medical Journal Year:2003 | Volume:6 | Issue:4 Page(s): 45-50

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Title

INTRAOCULAR PRESSURE AFTER INJECTION OF LIDOCAINE AND FENTANYL FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION

Author(s)

KASHANI S. | MOEIN VAZIRI M.T. | Issue Writer Certificate

Keywords

INTRAOCULAR PRESSUREQ3

LARYNGOSCOPYQ2

INTUBATIONQ3

INTRATRACHEALQ2

LIDOCAINEQ3

FENTANYLQ3

ANESTHESIAQ3

Abstract

Introduction: LARYNGOSCOPY and endotracheal INTUBATION can increase INTRAOCULAR PRESSURE (IOP), so in patients with open eye injuries even a transient increase of IOP can be hazardous. Method & Material: This double-blind study was conducted to compare the effects of LIDOCAINE and FENTANYL on IOP. Subjects were 90 patients of ASAI-II, aged 15-50 years and divided into three groups, having 30 patients each. Group I without premedication as control group, group II received FENTANYL 5µg/kg, 5 minutes prior to LARYNGOSCOPY, group III received LIDOCAINE 1.5 mg/kg, 3 minutes prior to LARYNGOSCOPY. Induction of ANESTHESIA was similar in all three groups, and IOP was measured 4 times in the following manner: stage I: before endotracheal INTUBATION, stage II: 30 seconds after endotracheal INTUBATION, stage III: one minute after endotracheal INTUBATION, stage IV: 3 minutes after endotracheal INTUBATION. IOP was measured by tonometer (schiotz). Analysis of variance was used for data analysis and p<0.05 was considered as significant. Results: The control group revealed a rise of IOP from 12.2±1.46 (stage I) to 26.1±2.93 mmHg (stage II) (P.V<0.0001). There was no significant IOP increase in stages III and IV. FENTANYL and LIDOCAINE groups had almost similar IOP in all stages of measurement. The rise of IOP in both groups during 2nd, 3rd and 4th stages as compared to stage one was not significant. Conclusion: It is concluded that endotracheal INTUBATION significantly increases IOP. LIDOCAINE and FENTANYL effect on INTRAOCULAR PRESSURE following LARYNGOSCOPY and endotracheal INTUBATION. FENTANYL or LIDOCAINE prior to endotracheal INTUBATION in all intraocular surgeries particularly in patients with open eye injuries is recommended.

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APA: Copy

KASHANI, S., & MOEIN VAZIRI, M.T.. (2003). INTRAOCULAR PRESSURE AFTER INJECTION OF LIDOCAINE AND FENTANYL FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION. HORMOZGAN MEDICAL JOURNAL, 6(4), 45-50. SID. https://sid.ir/paper/60565/en

Vancouver: Copy

KASHANI S., MOEIN VAZIRI M.T.. INTRAOCULAR PRESSURE AFTER INJECTION OF LIDOCAINE AND FENTANYL FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION. HORMOZGAN MEDICAL JOURNAL[Internet]. 2003;6(4):45-50. Available from: https://sid.ir/paper/60565/en

IEEE: Copy

S. KASHANI, and M.T. MOEIN VAZIRI, “INTRAOCULAR PRESSURE AFTER INJECTION OF LIDOCAINE AND FENTANYL FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION,” HORMOZGAN MEDICAL JOURNAL, vol. 6, no. 4, pp. 45–50, 2003, [Online]. Available: https://sid.ir/paper/60565/en

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