Tracheal intubation in intellectually disabled patients: Clinical usefulness of remifentanil and sevoflurane without a muscle relaxant

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Tracheal intubation in children using sevoflurane without muscle relaxant. A novel approach using apnea as clinical indicator

Introduction Many clinical indicators for tracheal intubation in children using sevoflurane without muscle relaxant have been used. None of the study showed 100% excellent intubating conditions. A single large study showing 80% excellent intubating conditions, noticed that persistence of spontaneous ventilation before intubation had very poor intubating conditions. So, our study aimed to achiev...

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[Comparison of the effects of remifentanil and remifentanil plus lidocaine on intubation conditions in intellectually disabled patients].

BACKGROUND AND OBJECTIVES This is a prospective, randomized, single-blind study. We aimed to compare the tracheal intubation conditions and hemodynamic responses either remifentanil or a combination of remifentanil and lidocaine with sevoflurane induction in the absence of neuromuscular blocking agents. METHODS Fifty intellectually disabled, American Society of Anesthesiologists I-II patients...

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The effects of sevoflurane with propofol and remifentanil on tracheal intubation conditions without neuromuscular blocking agents

BACKGROUND Propofol and remifentanil are used for tracheal intubation in the absence of neuromuscular blocking agents. We hypothesized that the addition of sevoflurane to propofol and remifentanil would improve intubation conditions and provide hemodynamic stability. METHODS Seventy-six patients scheduled for elective surgery were randomly allocated to be ventilated with either 4% (group I) o...

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orotracheal intubation without the use of muscle relaxant: propofol or etomidate in combination with remifentanil*

An appropriate tracheal intubation requires the patient who goes under this procedure to allow the manipulation of cervical, maxillofacial and laryngeal pharynx in order to be able to visualize the glotis.1 The use of neuromuscular relaxants is quite helpful when trying to attain this objective.2 Its use has become so widely applied that it is basically now the only technique known and taught t...

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Tracheal intubation without muscle relaxants: a randomized study of remifentanil or alfentanil in combination with thiopental.

BACKGROUND AND OBJECTIVE The combination of alfentanil-propofol or remifentanil-propofol provides adequate conditions for tracheal intubation without neuromuscular blocking drugs in most patients, but hypottension can occur during induction of anesthesia with propofol. We compared clinically acceptable intubating conditions and cardiovascular responses to induction and endotracheal intubation i...

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ژورنال

عنوان ژورنال: Journal of International Medical Research

سال: 2013

ISSN: 0300-0605,1473-2300

DOI: 10.1177/0300060513497561