To study the effect of lignocaine nebulization on attenuation of the pressor response during induction and emergence of anesthesia in patients with severe pre-eclampsia
The pressor response to laryngoscopy and tracheal intubation is a very important issue in hypertensive pregnant patients that can lead to increased maternal intracranial pressure, cerebral haemorrhage, and cardiac failure with pulmonary oedema and may result in maternal mortality. The catecholamine release associated with laryngoscopy and intubation also causes uteroplacental vasoconstriction and adversely affect the neonate well-being. Therefore, the precise control of stress is necessary during general anesthesia in pre-eclamptic patients.Various drugs are used to suppress the pressor response including opioids, lidocaine, along with α and β adrenergic blockers. in this study the investigators will evaluate the effect of lignocaine nebulization on attenuation of the pressor response.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
100
preoperative nebulization of lignocaine
preoperative nebulization of normal saline (Nacl 0.9%) as a placebo
Assiut University
Asyut, Egypt
RECRUITINGSystolic, diastolic, mean arterial blood pressure
Time frame: Preoperative-Intraoperative
Heart rate
Time frame: Preoperative-Intraoperative
Peripheral oxygen saturation
Time frame: Preoperative-Intraoperative
Cough score during emergence
Grade of coughing (grade 0: no cough; grade 1: single cough with mild severity; grade 2: cough lasting less than 5 seconds with moderate severity; grade 3: more than 5 seconds of persistent cough)
Time frame: Up to one hour after extubation
APGAR score
APGAR stands for "Appearance, Pulse, Grimace, Activity, and Respiration." In the test, five things are used to check a baby's health. Each is scored on a scale of 0 to 2, with 2 being the best score
Time frame: One, 5 and 10 minutes after delivery of the fetus
Sore throat and hoarseness of voice
The incidences and severities of postoperative sore throat and hoarseness of voice will be measured using direct questions
Time frame: Postoperative (one, 6 and 24 hours)
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