Journal of Cardiovascular Disease Research
Hemodynamic Stability during Induction of Anesthesia in Elderly Patients: Propofol plus Ketamine versus Propofol plus Etomidate
Dr. Md Furquan Inamdar, Dr. Nishant Deshpande, Dr. Vanishree Alwandikar
JCDR. 2023: 528-535
Abstract
Hemodynamic instability of patients during induction of general anesthesia is a very important clinical concern and it is a common event associated with negative results in clinical practice. During induction of anesthesia patients are exposed to pain full procedure such as laryngoscopy and endotracheal intubation. This procedure is often associated with tachycardia, hypertension, arrhythmia and other undesirable hemodynamic changes. Hypotension and hypertension all through general anesthesia are independently associated with adverse results in patients having both abdominal and non-abdominal surgery. Majority of studies on ketamine/propofol admixture have evaluated critically ill patients in the emergency department with the evidence demonstrating a potential sparing effect on hemodynamics along with improved pain relief and sedation quality.
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