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Yeungnam Univ J Med > Volume 24(2); 2007 > Article
Yeungnam University Journal of Medicine 2007;24(2):162-169.
DOI: https://doi.org/10.12701/yujm.2007.24.2.162    Published online December 31, 2007.
The Effects of Preoperative Sprayed 10% Lidocaine on the Hemodynamic Response during Suspension Microlaryngeal Surgery.
Deok Hee Lee, Hyun Seok Do
Department of Anestheisiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. dhlee415@ynu.ac.kr
Abstract
PURPOSE: It is well known that suspension microlaryngeal surgery produces marked increases in arterial blood pressure and heart rate. In this study, we evaluated the effects of 10% lidocaine preoperatively sprayed for attenuation of the perioperative hemodynamic response during suspension microlaryngeal surgery. MATERIALS AND METHODS: Fifty American Society of Anesthesiologists (ASA) class 1 patients scheduled for excision of a vocal polyp by suspension laryngoscopy were randomly divided into two groups (n=25 for each group). They were intubated without 10% lidocaine spray (control group) or given 1.5 mg/kg of 10% lidocaine sprayed onto the pharyngolaryngeal and intratracheal sites 90 sec prior to intubation (10% lidocaine group). Anesthesia was maintained using desflurane in O2/N2O 50%. The arterial blood pressure and heart rate were measured at preinduction (T0), 1 min (T1), 3 min (T2), 5 min (T3) after tracheal intubation, and 1 min (T4), 3 min (T5), 5 min (T6) and 10 min (T7) after the suspension laryngoscopy. RESULTS: In the 10% lidocaine group, the arterial blood pressure and heart rate at 1 (T1), 3 (T2) min after tracheal intubation and 1 (T4), and 3 (T5) min after suspension laryngoscopy were lower than the same measurements in the control group. CONCLUSION: 10% lidocaine sprayed onto the pharyngolaryngeal and intratracheal sites before intubation was an effective method for attenuation of the perioperative hemodynamic response during suspension microlaryngeal surgery.
Key Words: Hemodynamic, Lidocaine, Suspension Microlaryngeal Surgery
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