This is an older study done that looked at placebo, lidocaine, fentanyl, and esmolol to blunt the effects of tracheal intubation/DL that typically occurs with it. They looked at MAP/SBP and HR. From their data, it appears that esmolol is the winner. However, the doses of medication were not titrated to body weight. It seems that everyone got the same dose. Also, looks like everyone received pancuronium, a nice cardioaccelerator. But, for what it’s worth, I can see using esmolol on pt’s who need perfect HR/BP control and no CHF.
- Endotracheal intubation – All Information (umm.edu)
- How to intubate: Teaching a medical student during anesthesia residency (kevinmd.com)
- My awesome operation (whyevolutionistrue.wordpress.com)
- Woman undergoes groundbreaking larynx, tracheal transplant (shortformblog.com)
- Intubating the combative patient (kevinmd.com)