Adachi Y, Takamatsu I, Harada M, Uchihashi Y, Karasawa F, Sato T, Sugahara S
Department of Anesthesiology, National Defense Medical College, Tokorozawa.
Masui. 1998 Dec;47(12):1478-81.
This study evaluates the effects of low-doses i.v. fentanyl, buprenorphine and pentazocine on circulatory responses of endotracheal intubation in 70 scheduled surgical patients. Patients were allocated to 5 groups randomly and 2 (n = 11) or 4 (n = 13) micrograms.kg-1 of fentanyl, 0.5 mg.kg-1 of pentazocine (n = 13), 5 micrograms.kg-1 of buprenorphine (n = 10) and saline as a control (n = 23) were administered 5 minutes before the administration of thiopental, respectively. Then, patients were intubated with 0.1 mg.kg-1 of vecuronium. Blood pressure and heart rate were recorded. Only 4 micrograms.kg-1 of fentanyl diminished circulatory responses of systolic blood pressure on the stimuli of endotracheal intubation.
本研究评估了小剂量静脉注射芬太尼、丁丙诺啡和喷他佐辛对70例择期手术患者气管插管循环反应的影响。患者被随机分为5组,分别在硫喷妥钠给药前5分钟给予2(n = 11)或4(n = 13)微克·千克⁻¹的芬太尼、0.5毫克·千克⁻¹的喷他佐辛(n = 13)、5微克·千克⁻¹的丁丙诺啡(n = 10)以及生理盐水作为对照(n = 23)。然后,给予患者0.1毫克·千克⁻¹的维库溴铵进行插管。记录血压和心率。仅4微克·千克⁻¹的芬太尼减弱了气管插管刺激时收缩压的循环反应。