tracheal intubation without use of muscle relaxants: comparison of remifentanil and alfentanil
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Tracheal Intubation Without Use of Muscle Relaxants: Comparison of Remifentanil and Alfentanil
My objective is to analyze the efficiency of remifentanil-propofol and alfentanil-propofol combinations for laryngoscopic endotracheal intubation in the absence of muscle relaxants. This analysis reviews the work by Imani et al. (1). Muscle relaxants are frequently used to facilitate endotracheal intubation during anesthesia induction. However, the administration of short-acting depolarizing mu...
متن کاملTracheal 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...
متن کاملTracheal intubation of outpatients with and without muscle relaxants.
PURPOSE To compare intubating conditions and postoperative myalgias in outpatients after intubation with propofol/alfentanil compared with propofol/alfentanil/succinylcholine with and without precurarisation with d-tubocurarine. METHODS 144 ASA I-II ambulatory patients for dental extraction under anesthesia were studied. Subjects received either 3 mg d-tubocurarine (Group II) or saline (Group...
متن کاملEffects of remifentanil and alfentanil on cardiovascular responses to tracheal intubation
Introduction: Laryngoscopy and tracheal intubation necessitate to start a surgery and induction of general anesthesia as well as the maintenance of the air way and to provide ventilation. However, Laryngoscopy and tracheal intubation may lead to hemodynamic response that appear with the symptoms of hypertension tachycardia, arrhythmia and myocardial ischemia and results in myocardial infarction...
متن کاملComparison of remifentanil and alfentanil during anaesthesia for patients undergoing direct laryngoscopy without intubation.
BACKGROUND Remifentanil and alfentanil are opioids often used during direct laryngoscopy (DL). This prospective, randomized study compared these agents with respect to haemodynamic and Bispectral Index (BIS) responses, glottic visualization, and rapidity of recovery (spontaneous ventilation, eye opening) in DL without intubation. METHODS A total of 60 patients undergoing DL were randomized in...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۱، شماره ۳، صفحات ۲۱۰-۲۱۱
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