British Journal of Anaesthesia, Vol 84, Issue 3 358-362, Copyright © 2000 by Oxford University Press
RS Wu, KC Wu, TK Wong, YH Tsai, RK Cheng, MJ Bishop and PP Tan
We have studied the effects of a beta-agonist, fenoterol, and a cholinergic
antagonist, ipratropium, on post-intubation total respiratory system
resistance (Rrs) in asthmatics who developed increased Rrs after tracheal
intubation. Sixteen stable asthmatics in whom Rrs increased after
intubation were allocated randomly to receive either 10 puffs of fenoterol
(group F) or 10 puffs of ipratropium (group IB) via a metered dose inhaler
5 min after intubation. Anaesthesia was induced and maintained with
propofol i.v. Rrs was recorded before treatment and again 5, 15 and 30 min
after treatment. Rrs decreased significantly from pretreatment values by
mean 53 (SD 8)%, 53 (7)% and 58 (6)% at 5, 15 and 30 min, respectively, in
group F, but declined by only 12 (6)%, 15 (4)% and 17 (5)% in group IB. At
all times after treatment, patients in the fenoterol group had
significantly lower Rrs values than those in the ipratropium group. We
conclude that increased Rrs after tracheal intubation in asthmatics can be
reduced effectively by treatment with fenoterol. A secondary finding of our
study was that even after induction of anaesthesia with propofol, patients
with a history of asthma may develop high Rrs.
ARTICLES
Effects of fenoterol and ipratropium on respiratory resistance of asthmatics after tracheal intubation
China Medical College Hospital, Taichung, Taiwan, Republic of China.
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