Tracheal intubating conditions after induction with propofol, remifentanil and lignocaine
| Autor: | A. W. Woods, J. Harten, J. A. Davidson, J. S. Noble, Stuart A. Grant |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Mean arterial pressure Lidocaine Adolescent medicine.drug_class Laryngoscopy Remifentanil Hemodynamics Double-Blind Method Piperidines medicine Intubation Intratracheal Humans Anesthesia Anesthetics Local Propofol Aged medicine.diagnostic_test Local anesthetic business.industry Middle Aged Surgery Anesthesiology and Pain Medicine Blood pressure Female business Anesthetics Intravenous medicine.drug |
| Zdroj: | European journal of anaesthesiology. 15(6) |
| ISSN: | 0265-0215 |
| Popis: | We have studied the intubating conditions in 60 ASA I or II patients, after induction of anaesthesia with propofol 2 mg kg-1, allocated to one of the following three groups: group 1, remifentanil 1 microgram kg-1; group 2, remifentanil 1 microgram kg-1 and lignocaine 1 mg kg-1; group 3, remifentanil 2 micrograms kg-1. No neuromuscular blocking agents were administered. Intubating conditions were assessed using a four-point scoring system based on ease of laryngoscopy, jaw relaxation, position of vocal cords, degree of coughing and limb movement. Overall intubating conditions were acceptable in 35% of patients in group 1, 100% of patients in group 2 and 85% of patients in group 3. There was a statistically significant drop in blood pressure after induction in groups 2 and 3, and two patients in each group required ephedrine 6 mg i.v. boluses, as dictated by the intervention criteria (mean arterial pressure fall > 25% from baseline). Similarly, there was a drop in heart rate in groups 2 and 3, but this did not reach statistical or clinical significance, and no patient required atropine. |
| Databáze: | OpenAIRE |
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