Lesson Pre-eclampsia/eclampsia: * obtund intubation response * severe: monitor blood pressure with an arterial line * avoid ergotamine.

[5] However, there is a scope for tailor-made anaesthesia techniques to obtund the cardiovascular response to noxious stimuli during the laparoscopic surgery.

Reflex activity caused by laryngoscopy and intubation is obtunded differently by meptazinol, nalbuphine and fentanyl.

[6] to attenuate the pressor response, while higher doses 25-75 [micro]g/kg can even obtund the response, nevertheless with postoperative complications like respiratory depression, bradycardia, nausea, vomiting and muscle rigidity.

Opioids such as Fentanyl obtund the sympathetic response to laryngoscopy and endotracheal intubation in a dose dependent manner (220 [micro]g/kg) [11] and they are commonly used as adjuvant to inhalational agent for the same purpose.

First, the greater depth of anaesthesia at BIS 25 may provide greater relaxation of jaw muscles and may obtund airway reflexes to a greater degree.

Successful insertion of LMA requires sufficient depth of anaesthesia to relax the jaw and to obtund the airway reflexes to avoid gagging, coughing and laryngospasm.

This hypothesis is supported by the finding of Mark, that placement of Sp[O.sub.2] probe on the dependent limb can obtund the amplitude of a plethysmographic waveform (2).

deep inhalational anaesthesia could not reliably obtund the intubation response and could raise the intraocular pressure, which was undesirable in our patient.

Anxiety and vacillations obtund the motivational levels, particularly when definitive therapies are not well established, improperly practised or desperately disputed between the systems (Gandotra, 1984; Jackson, 2002).

(9) compared the efficacy of Lidocaine, Fentanyl and esmolol to obtund the intubation responses and concluded that only esmolol provided constant and reliable part against increase in heart rate and systolic blood pressure accompanying laryngoscopy and intubation.

In the year 2014, Shalini et al (8) concluded that dexmedetomidine premedication obtund the intraocular pressure rise after suxamethonium and endotracheal intubation.

He was still obtunded upon arrival in the emergency department and vomited 4 tan-colored patches.

Pertinent findings on physical examination of this owl were obtunded mentation and ocular abnormalities OS, including blepharospasm.

A 27-year-old dialysis dependent female with history of lupus nephritis was obtunded on presentation from mitral valve endocarditis and acute subarachnoid hemorrhage.