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Lidocaine has been shown to blunt the cardiovascular response to endotracheal intubation. The incidence of hypertension, tachycardia and dysrhythmias due to laryngoscopy may be increased in patients that receive rapid sequence induction and intubation, where opioids are spared and intravenous anesthetic agents are not titrated step by step. Our hypothesis was that lidocaine when administered intravenously in patients who undergo rapid sequence induction may not only blunt the hemodynamic response to intubation, but may also increase the anesthetic depth (as assessed by BIS), thus further reducing the possibility of hypertension, arrhythmias and also awareness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lidocaine | Active Comparator |
| |
| normal saline | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lidocaine | Drug | lidocaine 1.5 mg/kg intravenously |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| BIS changes after lidocaine administration in rapid sequence induction | change from baseline in BIS values during 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| change in blood pressure | change from baseline in blood pressure during 10 minutes | |
| change in Heart rate | change from baseline in heart rate durng 10 minutes |
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Inclusion Criteria:
Exclusion Criteria :
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aretaieio Hospital, University of Athens | Athens | Attica | 11528 | Greece |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 30, 2012 | |
| Reset | Apr 24, 2012 | |
| Release | May 11, 2012 | |
| Reset | Jun 11, 2012 | |
| Release | Jun 14, 2012 | |
| Reset | Jul 18, 2012 | |
| Release | Jan 21, 2013 | |
| Reset | Feb 22, 2013 | |
| Release | Oct 9, 2018 | |
| Reset | Feb 18, 2019 | |
| Release | Feb 18, 2019 | |
| Reset | May 30, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 30, 2012 | Apr 24, 2012 | |||
| May 11, 2012 |
| ID | Term |
|---|---|
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Drug |
normal saline |
|
| Jun 11, 2012 |
| Jun 14, 2012 | Jul 18, 2012 |
| Jan 21, 2013 | Feb 22, 2013 |
| Oct 9, 2018 | Feb 18, 2019 |
| Feb 18, 2019 | May 30, 2019 |
| Aniline Compounds |
| D000588 | Amines |