USE OF ALFENTANIL WITH PROPOFOL FOR NASOTRACHEAL INTUBATION WITHOUT NEUROMUSCULAR BLOCK

被引:41
|
作者
COGHLAN, SFE
MCDONALD, PF
CSEPREGI, G
机构
[1] Department of Anaesthesia, Walton Hospital, Rice Lane
关键词
ANESTHETICS; INTRAVENOUS; PROPOFOL ANALGESICS; ALFENTANIL; INTUBATION; NASOTRACHEAL; TECHNIQUE;
D O I
10.1093/bja/70.1.89
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have investigated the effect of augmentation of propofol with alfentanil for nasotracheal intubation without neuromuscular block in 60 patients undergoing short elective maxillo-facial procedures as outpatients. After administration of glycopyrronium 5 mug kg-1 i.v., anaesthesia was induced with propofol 2.5 mg kg-1, or alfentanil 20 mug kg-1 and profopol 2.5 mg kg-1. The alfentanil group had improved jaw relaxation (P < 0.001) and vocal cord conditions (P < 0.005). Tracheal intubation was successful in 83 % of patients receiving alfentanil, and in 73% of patients receiving propofol only. This difference was not significant The cardiovascular response to intubation was attenuated in the alfentanil group.
引用
收藏
页码:89 / 91
页数:3
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