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British Journal of Anaesthesia, 1994, Vol. 73, No. 4 537-539
© 1994 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

Myocardial ischaemia during tracheal intubation and extubation

N. D. EDWARDS, FRCA, A. M. ALFORD, FRCA, P. M. S. DOBSON, FRCA, J. E. PEACOCK, FRCA and C. S. REILLY, MD, FRCA

University Department of Surgical and Anaesthetic Sciences, Royal Hallamshire Hospital Glossop Road, Sheffield S10 2JF

The incidence of myocardial ischaemia during tracheal intubation and extubation was compared using ambulatory ECG monitoring in 60 patients undergoing a variety of different surgical operations. Seven patients had myocardial ischaemia after tracheal intubation and seven patients during tracheal extubation. The patients who developed myocardial ischaemia during tracheal extubation had significantly greater rate-pressure products immediately before tracheal extubation (P<0.05) and 1 min after tracheal extubation (p<0.01) compared with those patients who did not develop myocardial ischaemia during extubation.


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