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The effect of lidocaine and sufentanil in preventing intraocular pressure increase due to succinylcholine and endotracheal intubation

Published online by Cambridge University Press:  04 April 2006

H. A. Moeini ,
H. A. Soltani ,
A. R. Gholami  and
H. Masoudpour
H. A. Moeini
Affiliation:
University of Isfahan Medical Science, Faculty of Medicine, Ophthalmology Department, Isfahan, Iran
H. A. Soltani
Affiliation:
University of Isfahan Medical Science, Faculty of Medicine, Anaesthesiology Department, Isfahan, Iran
A. R. Gholami
Affiliation:
University of Isfahan Medical Science, Faculty of Medicine, Anaesthesiology Department, Isfahan, Iran
H. Masoudpour
Affiliation:
University of Isfahan Medical Science, Faculty of Medicine, Ophthalmology Department, Isfahan, Iran
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Abstract

Summary

Background and objective: Succinylcholine administration, laryngoscopy and tracheal intubation are followed by increased intraocular pressure. Various premedications have been advocated for preventing increases in intraocular pressure, especially in patients undergoing surgical repair of open globe due to penetrating eye trauma. Results of studies in this area have been controversial. Methods: In this double-blind study, three groups of 70 patients receiving sufentanil, lidocaine and placebo 90 s prior to intubation were evaluated and compared for intraocular pressure changes following succinylcholine administration, laryngoscopy and tracheal intubation. Results: Mean intraocular pressure measured 2 and 3 min after succinylcholine administration in groups receiving sufentanil and lidocaine was significantly lower than in the placebo group. Mean intraocular pressure changes in the three groups were −1.84, −2.03 and +2.82 mmHg, respectively in minute 2; −4.78, −4.73 and +1.35 mmHg, respectively in minute 5. There was a significant intraocular pressure decrease in the sufentanil and lidocaine groups, compared to the placebo group. The eye surgeons' satisfaction was also significantly higher with the sufentanil and lidocaine groups. Conclusion: Previous studies have yielded controversial results as to the effect of sufentanil and lidocaine in preventing intraocular pressure following succinylcholine administration, laryngoscopy and tracheal intubation. The present study affirms the preventive effect of these drugs on intraocular pressure increase.

Keywords

INTRAOCULAR PRESSURE, raisedANAGESICS OPIOID, remifentanilANALGESICS LOCAL, lidocaineNEUROMUSCULAR BLOCKING AGENTS, succinylcholineINTUBATION, INTRATRACHEAL
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 23 , Issue 9 , September 2006 , pp. 739 - 742
Copyright
2006 European Society of Anaesthesiology

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