Naila Asad, Khawar Ali, Mazhar Iqbal, Abdul Qayyum.
Comparison of Nalbuphine and Midazolam on the cardiovascular response to Laryngoscopy and intubation.
Ann King Edward Med Uni Jan ;11(3):253-5.

Objective: To compare the effects of nalbuphine and midazolam on cardiovascular response to laryngoscopy and intubation -during induction of anaesthesia. Method: Ninety adult male patients of ASA I or II status were included and divided into three equal g roups. Group I was control in which 3ml of saline was given. Group II received nalbuphine 75 ug/kg and Group III received midazolam 30 ug/kg. The cardiovascular response was evaluated at laryngoscopy and every minute after intubation for three minutes.The results were analysed statistically by ANOVA.p<0.05 was taken significant. Results: A decrease in HR, SBP, DBP, MAP was seen after three minutes in Group II and III but the decrease was more pronounced in Group II.(p<0.05) Conclusion: Premedication with nalbuphine 75gg/kg is more effective than midazolam in blunting the haemodynamic response to laryngoscopy and intubation.

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