Tracheal intubation without neuromuscular block in children
| Autor: | Vijayalaxmi P Bellagali, Safiya I Shaikh |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Neuromuscular Blockade medicine.diagnostic_test business.industry medicine.medical_treatment suxamethonium Laryngoscopy Tracheal intubation Hemodynamics Endotracheal intubation Surgery Fentanyl lcsh:RD78.3-87.3 Anesthesiology and Pain Medicine lcsh:Anesthesiology Anesthesia Medicine Clinical Investigation business Propofol medicine.drug |
| Zdroj: | Indian Journal of Anaesthesia Indian Journal of Anaesthesia, Vol 54, Iss 1, Pp 29-34 (2010) |
| ISSN: | 0976-2817 |
| Popis: | Endotracheal intubation has been performed during the administration of Propofol anaesthesia without neuromuscular blockade. In the study, we have assessed tracheal intubating conditions and haemodynamic responses in children aged 4 to12 years by using combination of either Fentanyl and Propofol; or Propofol and a neuromuscular blocker, suxamethonium. Intubating conditions were assessed on a 1-4 scale based on ease of laryngoscopy, position of vocal cords, degree of coughing and jaw relaxation. Tracheal intubation was successful in 95% of patients receiving Fentanyl-Propofol and 100% of patients receiving Propofol-suxamethonium. Fentanyl-Propofol provided better haemodynamic stability than Propofol-suxamethonium. We conclude that Propofol-Fentanyl combination could be a useful alternative technique for tracheal intubation when neuromuscular blocking drugs are contraindicated or need to be avoided. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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