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
相关论文
共 50 条
  • [41] Comparison of remifentanil and alfentanil during anaesthesia for patients undergoing direct laryngoscopy without intubation
    Wiel, E
    Davette, M
    Carpentier, L
    Fayoux, P
    Erb, C
    Chevalier, D
    Vallet, B
    BRITISH JOURNAL OF ANAESTHESIA, 2003, 91 (03) : 421 - 423
  • [42] Use of Nasotracheal Intubation during General Anesthesia in Two Ponies with Tracheal Collapse
    Ida, Keila K.
    Sauvage, Aurelie
    Gougnard, Alexandra
    Grauwels, Magda
    Serteyn, Didier
    Sandersen, Charlotte
    FRONTIERS IN VETERINARY SCIENCE, 2018, 5
  • [43] Tracheal intubation without neuromuscular blocking agents: is there any point?
    Sneyd, J. R.
    O'Sullivan, E.
    BRITISH JOURNAL OF ANAESTHESIA, 2010, 104 (05) : 535 - 537
  • [44] Randomized Clinical Trial of Propofol With and Without Alfentanil for Deep Procedural Sedation in the Emergency Department
    Miner, James R.
    Gray, Richard O.
    Stephens, Dana
    Biros, Michelle H.
    ACADEMIC EMERGENCY MEDICINE, 2009, 16 (09) : 825 - 834
  • [45] Rapid sequence induction and intubation without the use of neuromuscular blockers: Why noninferiority trials are clinically relevant
    Brull, Sorin J.
    Fulesdi, Bela
    ANAESTHESIA CRITICAL CARE & PAIN MEDICINE, 2023, 42 (03)
  • [46] A novel mixture of propofol, alfentanil, and lidocaine for regional block with monitored anesthesia care in ophthalmic surgery
    Fang, ZT
    Keyes, MA
    JOURNAL OF CLINICAL ANESTHESIA, 2006, 18 (02) : 114 - 117
  • [47] Use of neuromuscular blockade with rocuronium bromide for intubation in cats
    Moreno-Sala, Armando
    Ortiz-Martinez, Raul
    Valdivia, Arturo G.
    Torres-de-Moreno, Maria G.
    Martinez, Armando
    VETERINARY ANAESTHESIA AND ANALGESIA, 2013, 40 (04) : 351 - 358
  • [48] STRESS-RESPONSE TO NASOTRACHEAL INTUBATION - A COMPARATIVE-EVALUATION OF FIBERENDOSCOPIC VS LARYNGOSCOPIC INTUBATION WITH AND WITHOUT TOPICAL ANESTHESIA OF THE LARYNX
    LATORRE, F
    HOFMANN, M
    KLEEMANN, PP
    DICK, WF
    ANAESTHESIST, 1993, 42 (07): : 423 - 426
  • [49] Remifentanil and propofol for tracheal intubation without muscle relaxant in children: the effects of ketamine
    Begec, Zekine
    Demirbilek, Semra
    Ozturk, Erdogan
    Erdil, Feray
    Ersoy, M. Ozcan
    EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2009, 26 (03) : 213 - 217
  • [50] Use of lightwand for nasotracheal intubation in adult patients with limited mouth opening undergoing elective surgery
    Subhash
    Dhama, Vipin Kumar
    Manik, Yogesh Kumar
    Tiwari, Tanmay
    Singh, Ganesh
    ANAESTHESIA PAIN & INTENSIVE CARE, 2015, 19 (04) : 468 - 472