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Article
Attenuation of hypotension using phenylephrine during induction of anaesthesia with propofol
Journal of Pakistan Medical Association
  • Muhammad Imran, Aga Khan University
  • Fazal Hameed Khan, Aga Khan University
  • Mansoor Ahmed Khan, Aga Khan University
Publication Date
1-1-2007
Document Type
Article
Disciplines
Abstract
Objective: To observe if phenylephrine mixed with propofol can attenuate hypotensive effects of propofol during induction of anaesthesia. Methods: A total number of 135 adult ASA-I and ASA-II patients were divided into three groups. (Group A, B and C). All patients were induced with propofol 2.5 mg per kg. In Group A (control group) patients received propofol mixed with 2cc of 0.9% normal saline. Group B (study group) patients received propofol mixed with 2cc of a solution containing phenylephrine 25µg/cc (total 50µg); Group C (study group) patients received propofol mixed with 2cc of a solution containing phenylephrine 50µg/cc (total 100µg). Haemodynamic variables like systolic, diastolic, mean arterial blood pressure and heart rate were noted. Hypotension was defined as 20% decrease in baseline systolic blood pressure recorded before induction of anaesthesia. Results: Phenylephrine in a dose of 100 micrograms attenuated the drop in systolic blood pressure. However phenylephrine in a dose 50 micrograms did not effectively prevent anticipated drop in SBP. Conclusion: Phenylephrine in doses of 100 micrograms effectively attenuates anticipated hypotension upon induction of general anaesthesia with propofol
Citation Information
Muhammad Imran, Fazal Hameed Khan and Mansoor Ahmed Khan. "Attenuation of hypotension using phenylephrine during induction of anaesthesia with propofol" Journal of Pakistan Medical Association Vol. 57 Iss. 11 (2007) p. 543 - 547
Available at: http://works.bepress.com/fazal_hameed/4/