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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-10-29
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pubmed:abstractText |
Changes in cardiac index (CI) and estimated systemic vascular resistance (ESVR) were assessed non-invasively using pulsed Doppler ultrasound during induction of anaesthesia. Ninety-six ASA I patients were allocated randomly to one of four groups to receive alfentanil 8 micrograms kg-1 followed by a dose of thiopentone, methohexitone, propofol or etomidate sufficient to obtund the eyelash reflex. CI increased significantly by 8% 1 min after administration of both methohexitone (P < 0.05) and propofol (P < 0.05), returning to pre-induction values thereafter. CI increased after thiopentone but the increase was not statistically significant. There was a significant decrease in CI of 16% after induction with etomidate (P < 0.001). ESVR decreased significantly from pre-induction values by 18% after methohexitone (P < 0.001) and 23% after propofol (P < 0.001). ESVR in the thiopentone group decreased, but this was not statistically significant. ESVR increased significantly by 12% 1 min after induction of anaesthesia with etomidate (P < 0.05) and then decreased towards pre-induction values. The results suggest that the cardiostability of etomidate may not be as complete in all groups of patients as previous studies have suggested.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0007-0912
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
172-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1389822-Blood Flow Velocity,
pubmed-meshheading:1389822-Cardiac Output,
pubmed-meshheading:1389822-Etomidate,
pubmed-meshheading:1389822-Heart Rate,
pubmed-meshheading:1389822-Humans,
pubmed-meshheading:1389822-Methohexital,
pubmed-meshheading:1389822-Propofol,
pubmed-meshheading:1389822-Random Allocation,
pubmed-meshheading:1389822-Stroke Volume,
pubmed-meshheading:1389822-Thiopental,
pubmed-meshheading:1389822-Vascular Resistance
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pubmed:year |
1992
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pubmed:articleTitle |
Changes in cardiac index and estimated systemic vascular resistance during induction of anaesthesia with thiopentone, methohexitone, propofol and etomidate.
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pubmed:affiliation |
Department of Anaesthetics, St Georges Hospital, London.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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