Abstract

THE EFFICACY OF FENTANYL AND FENTANYL PLUS LIDOCAINE IN HYPERTENSION

Basim Abed Kassim* and Ashwaq Basim Hamed

Abstract

This trial aimed to evaluate and to compare the efficacy of fentanyl and fentanyl plus lidocaine in hypertension. We conducted a prospective, randomized, doubleblind trial in 40 patients with hypertension in the alkark Hospital, Iraq, from March to December 2018. T. Including criteria comprised; elective surgery with general anesthesia, 65 > age > 20, ASA class ІІ patients (hypertensive patients). Excluding criteria; patients undergoing heart surgery, ASA III or above, CHF (congestive heart failure, arrhythmia, 20 > age > 65 years, problems with intubation, intubation time greater than 15 seconds, contraindications to lidocaine use, and no control of hypertension and/or asthma. We found that fentanyl and fentanyl plus lidocaine are effective medications on hemodynamic responses (HR, SBP and DBP) decreasing before induction, three minutes before intubation and 1, 3 and 5 minutes after intubation.

Keywords: fentanyl, fentanyl plus lidocaine, hypertension.