Dergiler / Turkish Journal of Medical Sciences / 2007 / Cilt: 37 - Sayı: 5

Genetic Variants Account for Differences in Responses in Blood Pressure and Blood Flow Values to Laryngoscopy/Intubation/Extubation

Sayfa
273–280
Yayın Tarihi
2022-11-05
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Increases at Ti were significant for all values when compared to To (p

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Aim: There is a variation in drug response among individuals.
📊
Temel Bulgular & Veri:In this study, we determined angiotensin-converting enzyme (ACE) insertion/deletion (I/D), beta2-adrenergic receptor (ADRB2) Arg16Gly and dopamine D1 receptor (DRD1) -48 G/A polymorphisms, which are presumed to be related to the transient hypertension induced by the mechanical stimulation of laryngoscopy and tracheal intubation/extubation.
💡
Sonuç & Katkı:Increases at Ti were significant for all values when compared to To (p
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Cardiovascular response · intubation · extubation

Özet

Aim: There is a variation in drug response among individuals. In this study, we determined angiotensin-converting enzyme (ACE) insertion/deletion (I/D), beta2-adrenergic receptor (ADRB2) Arg16Gly and dopamine D1 receptor (DRD1) -48 G/A polymorphisms, which are presumed to be related to the transient hypertension induced by the mechanical stimulation of laryngoscopy and tracheal intubation/extubation. Materials and Methods: One hundred American Society of Anesthesiologists (ASA) class I patients were enrolled in this study. Heart rate and blood pressure were recorded before induction (T0), after induction (T1), during laryngoscopy/intubation (Ti) and 1, 2, 3, 4 and 5 min thereafter (Ti-1-Ti-5), before extubation (Te) and 1, 2, 3, 4 and 5 min afterwards (Te-1-Te-5). ACE I/D, ADRB2 Arg16Gly and DRD1 -48 G/A polymorphisms were investigated by polymerase chain reaction-restriction fragment length polymorphism analyses. Data were analyzed by Repeated Measure Factorial Analysis of Variance. Results: During laryngoscopy, intubation and extubation, blood pressure, heart rate and rate pressure product (RPP) values increased, returning to baseline within five minutes. Increases at Ti were significant for all values when compared to To (p

Abstract

Aim: There is a variation in drug response among individuals. In this study, we determined angiotensin-converting enzyme (ACE) insertion/deletion (I/D), beta2-adrenergic receptor (ADRB2) Arg16Gly and dopamine D1 receptor (DRD1) -48 G/A polymorphisms, which are presumed to be related to the transient hypertension induced by the mechanical stimulation of laryngoscopy and tracheal intubation/extubation. Materials and Methods: One hundred American Society of Anesthesiologists (ASA) class I patients were enrolled in this study. Heart rate and blood pressure were recorded before induction (T0), after induction (T1), during laryngoscopy/intubation (Ti) and 1, 2, 3, 4 and 5 min thereafter (Ti-1-Ti-5), before extubation (Te) and 1, 2, 3, 4 and 5 min afterwards (Te-1-Te-5). ACE I/D, ADRB2 Arg16Gly and DRD1 -48 G/A polymorphisms were investigated by polymerase chain reaction-restriction fragment length polymorphism analyses. Data were analyzed by Repeated Measure Factorial Analysis of Variance. Results: During laryngoscopy, intubation and extubation, blood pressure, heart rate and rate pressure product (RPP) values increased, returning to baseline within five minutes. Increases at Ti were significant for all values when compared to To (p

🔖

Bu Makaleye Atıf Yap

ATAÇ, F. B., ŞAHİN, F. İ., GÖNEN, H., YAZICI, A. C., KAYHAN, Z. (2022). Genetic Variants Account for Differences in Responses in Blood Pressure and Blood Flow Values to Laryngoscopy/Intubation/Extubation. Turkish Journal of Medical Sciences, Cilt: 37 - Sayı: 5, 273–280. https://ajindex.com/articles/611869

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (15)

  1. Hung O. Understanding hemodynamic responses to tracheal intubation. Can J Anaesth 2001; 48: 723-6
  2. Kayhan Z, Aldemir D, Mutlu H, Ogus E. Which is responsible for the haemodynamic response due to laryngoscopy and endotracheal intubation? Catecholamines, vasopressin or angiotensin? Eur J Anaesthsiol 2005; 22: 780-5
  3. Boralessa H, Senior D, Whitwam JG. Cardiovascular response to intubation. A comparative study of thiopentone and midazolam. Anesthesia 1983; 38: 623–7
  4. Black T, Kay B, Healy E. Reducing the hemodynamic responses to laryngoscopy and intubation. Anesthesia 1984; 39: 883–7
  5. Mikawa K, Maekawa N, Hasegawa M. Attenuation of the cardiovascular and catecholamine responses to tracheal intubation with oral guanabenz. Anaesth Analg 1993; 76: 585–91
  6. Mikawa K, Nishina K, Maekawa N. Comparison of nicardipine, diltiazem and verapamil for controlling the cardiovascular responses to tracheal intubation. Br J Anaesth 1996; 76: 221–6
  7. Zalunardo P, Zollinger A, Spahn D. Preoperative clonidine attenuated stress response during emergence from anesthesia. J Clin Anaesth 2000; 12: 343–9
  8. Barak M, Ziser A, Greenberg A. Hemodynamic and catecholamine response to tracheal intubation: direct laryngoscopy compared with fiberoptic intubation. J Clin Anaesth 2002; 15: 132–6
  9. Lasocki S, Iglarz M, Seince P-F, Vuillaumier-Barrot S, Vicaut E, Henrion D et al. Involvement of renin-angiotensin system in pressure-flow relationship. Anesthesiology 2002; 96: 271-5
  10. Snieder H, Dong Y, Barbeau P, Harshfield GA, Dalageogou C, Zhu H et al. Beta2-adrenergic receptor gene and resting hemodynamics in European and African American youth. Am J Hypertens 2002; 11: 973-9
  11. Kaymak C, Kocabas NA, Durmaz E, Oztuna D. Beta2 adrenoceptor (ADRB2) pharmacogenetics and cardiovascular phenotypes during laryngoscopy and tracheal intubation. Int J Toxicol 2006; 25: 443-9
  12. Sato M, Soma M, Nakayama T. Dopamine D1 receptor gene polymorphism is associated with essential hypertension. Hypertension 2000; 36: 183–6
  13. Miller SA, Dykes DD, Polesky HS. Simple salting out procedure for extracting DNA from human nucleated cells. Nuc Acid Res 1998; 20: 1433-40
  14. Chang TJ, Tsai MH, Jiang YD, Lee B, Lee KC, Lin JY et al. The Arg16Gly polymorphism of human beta2 adrenoreceptor is associated with type 2 diabetes in Taiwanese people. Clin Endocrinol 2002; 57: 685-90
  15. Yaren A, Turgut S, Kursunluoglu R, Oztop I, Turgut G, Kelten C et al. Association between the polymorphism of th