Incidence of cough after desflurane and sevoflurane administration through a laryngeal mask: a controlled clinical trial

被引:0
作者
Lema Florez, E. [1 ]
Tafur, L. A. [1 ]
Giraldo, C. [1 ]
Delgado, M. A. [1 ]
机构
[1] Inst Ninos Ciegos & Sordos Valle del Cauca, Serv Anestesiol & Reanimac, Cali, Colombia
来源
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2010年 / 57卷 / 03期
关键词
Desflurane; Sevoflurane; Cough; Laryngeal mask;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
OBJECTIVE: To determine the incidence of cough with the administration of desflurane and sevoflurane through a laryngeal mask. METHODS: A double-blind controlled clinical trial in 90 patients who received general anesthesiafor ear, nose and throat surgery outpatient. The experimental group (n = 45) inhaled desflurane and the control group (n = 45) inhaled sevoflurane. Rugloop simulation software was used to assure that each patient was under the effect of the induction agent (propofol). The Gasman program was used to ascertain that a minimum alveolar concentration of 1 had been achieved before the hypnotic effect of propofol was lost. Cough was evaluated on the Shahbaz scale during the 10 minutes following induction and at the end of the procedure. RESULTS: Cough in the first 10 minutes was recorded in 53.6% of patients in the desflurane group and in 2.4% in the sevoflurane group (P < .05). Between-group differences were also evident at the end of surgery (desflurane group, 24%; sevoflurane group, 9.7%; P < .05). CONCLUSION: The patients who inhaled desflurane through a laryngeal mask had a higher incidence of cough than those who inhaled sevoflurane. The mechanism by which cough is being triggered by desflurane should be studied to determine whether the effect is chemical or mechanical and whether it is acting in the larynx or in the distal portion of the lung.
引用
收藏
页码:141 / 146
页数:6
相关论文
共 16 条
  • [1] Desflurane enhances reactivity during the use of the laryngeal mask airway
    Arain, SR
    Shankar, H
    Ebert, TJ
    [J]. ANESTHESIOLOGY, 2005, 103 (03) : 495 - 499
  • [2] Anesthesia awareness and the bispectral index
    Avidan, Michael S.
    Zhang, Lini
    Burnside, Beth A.
    Finkel, Kevin J.
    Searleman, Adam C.
    Selvidge, Jacqueline A.
    Saager, Leif
    Turner, Michelle S.
    Rao, Srikar
    Bottros, Michael
    Hantler, Charles
    Jacobsohn, Eric
    Evers, Alex S.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (11) : 1097 - 1108
  • [3] Encoding of the cough reflex
    Canning, Brendan J.
    [J]. PULMONARY PHARMACOLOGY & THERAPEUTICS, 2007, 20 (04) : 396 - 401
  • [4] The physiology of cough
    Chang, Anne B.
    [J]. PAEDIATRIC RESPIRATORY REVIEWS, 2006, 7 (01) : 2 - 8
  • [5] Dennis R., 1989, ACTA MED COLOM, V14, P92
  • [6] DOBSON AJ, 1984, T MENZIES F, V7, P75
  • [7] Recovery and kinetic characteristics of desflurane and sevoflurane in volunteers after 8-h exposure, including kinetics of degradation products
    Eger, EI
    Bowland, T
    Ionescu, P
    Laster, MJ
    Fang, ZX
    Gong, D
    Sonner, J
    Weiskopf, RB
    [J]. ANESTHESIOLOGY, 1997, 87 (03) : 517 - 526
  • [8] Eger II E, 2002, TEXT BOOK, V5, P44
  • [9] A comparison of airway responses during desflurane and sevoflurane administration via a laryngeal mask airway for maintenance of anesthesia
    Eshima, RW
    Maurer, A
    King, T
    Lin, BK
    Heavner, JE
    Bogetz, MS
    Kaye, AD
    [J]. ANESTHESIA AND ANALGESIA, 2003, 96 (03) : 701 - 705
  • [10] GAGE JS, 1992, M D COMPUT, V9, P54