The effects of suxamethonium and D-tubocurarine on the pressor and plasma catecholamine responses to tracheal intubation

Anaesth Intensive Care. 1983 May;11(2):103-6. doi: 10.1177/0310057X8301100202.

Abstract

Changes in mean arterial pressure (MAP) and plasma catecholamine concentrations in response to endotracheal intubation were examined in 8 patients who had received d-tubocurarine and 10 who had received suxamethonium. MAP fell after induction of anaesthesia and administration of the relaxant by a mean of 11 mmHg in those who had received suxamethonium and 19 mmHg in those who had received d-tubocurarine (p less than 0.05 for each). MAP rose sharply when the trachea was intubated, by a mean of 29 mmHg for the suxamethonium group, and 35 mmHg for the curare group (p less than 0.001 for each). A significant rise in plasma noradrenaline was also noted after intubation in each group, 51% (p less than 0.01) for the suxamethonium group and 28% (p less than 0.05) for the d-tubocurarine. The results suggest that the fall in MAP after administration of d-tubocurarine does not attenuate the pressor response associated with intubation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Blood Pressure / drug effects*
  • Catecholamines / blood*
  • Dopamine / blood
  • Epinephrine / blood
  • Female
  • Humans
  • Intubation, Intratracheal*
  • Male
  • Middle Aged
  • Norepinephrine / blood
  • Random Allocation
  • Succinylcholine / pharmacology*
  • Tubocurarine / pharmacology*

Substances

  • Catecholamines
  • Succinylcholine
  • Dopamine
  • Tubocurarine
  • Norepinephrine
  • Epinephrine