TY - JOUR
T1 - Effect of clonidine premedication on haemodynamic responses to fibreoptic bronchoscopy
AU - Matot, I.
AU - Kuras, Y.
AU - Kramer, M. R.
PY - 2000/3
Y1 - 2000/3
N2 - The usual haemodynamic response to fibreoptic bronchoscopy is an increase in heart rate and blood pressure. We therefore compared, in a prospective, randomised, double-blind study, the effect of two doses of oral clonidine premedication (150 μg or 300 μg) with placebo (control group) on the haemodynamic alterations in 62 patients who underwent elective fibreoptic bronchoscopy. Significant increases in blood pressure and heart rate were observed during fibreoptic bronchoscopy only in the control group. Clonidine 150 μg blunted the haemodynamic response to fibreoptic bronchoscopy (p < 0.05). Significant decreases in systolic blood pressure (< 90 mmHg) were observed in all patients premedicated with 300 μg clonidine. Throughout the study nine patients (75%) in the 300 μg clonidine group were treated at least once for hypotension. Compared with the control group, time to awakening was significantly longer only in patients premedicated with 300 μg clonidine. In conclusion, premedication with 150 μg oral clonidine attenuates haemodynamic responses to fibreoptic bronchoscopy, without causing excessive haemodynamic depression and sedation. These data encourage the administration of clonidine as premedication in patients undergoing fibreoptic bronchoscopy, particularly in those with, or at risk for, coronary artery disease.
AB - The usual haemodynamic response to fibreoptic bronchoscopy is an increase in heart rate and blood pressure. We therefore compared, in a prospective, randomised, double-blind study, the effect of two doses of oral clonidine premedication (150 μg or 300 μg) with placebo (control group) on the haemodynamic alterations in 62 patients who underwent elective fibreoptic bronchoscopy. Significant increases in blood pressure and heart rate were observed during fibreoptic bronchoscopy only in the control group. Clonidine 150 μg blunted the haemodynamic response to fibreoptic bronchoscopy (p < 0.05). Significant decreases in systolic blood pressure (< 90 mmHg) were observed in all patients premedicated with 300 μg clonidine. Throughout the study nine patients (75%) in the 300 μg clonidine group were treated at least once for hypotension. Compared with the control group, time to awakening was significantly longer only in patients premedicated with 300 μg clonidine. In conclusion, premedication with 150 μg oral clonidine attenuates haemodynamic responses to fibreoptic bronchoscopy, without causing excessive haemodynamic depression and sedation. These data encourage the administration of clonidine as premedication in patients undergoing fibreoptic bronchoscopy, particularly in those with, or at risk for, coronary artery disease.
KW - Alpha adrenergic agonists
KW - Bronchoscope
KW - Clonidine
KW - Equipment
KW - Fibreoptic
KW - Pharmacology
KW - Sympathetic nervous system
UR - http://www.scopus.com/inward/record.url?scp=0034101508&partnerID=8YFLogxK
U2 - 10.1046/j.1365-2044.2000.01215.x
DO - 10.1046/j.1365-2044.2000.01215.x
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 10671847
AN - SCOPUS:0034101508
SN - 0003-2409
VL - 55
SP - 269
EP - 274
JO - Anaesthesia
JF - Anaesthesia
IS - 3
ER -