Comparison of remifentanil with alfentanil or suxamethonium following propofol anaesthesia for tracheal intubation

Citation
R. Alexander et al., Comparison of remifentanil with alfentanil or suxamethonium following propofol anaesthesia for tracheal intubation, ANAESTHESIA, 54(11), 1999, pp. 1032-1036
Citations number
17
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
ANAESTHESIA
ISSN journal
00032409 → ACNP
Volume
54
Issue
11
Year of publication
1999
Pages
1032 - 1036
Database
ISI
SICI code
0003-2409(199911)54:11<1032:CORWAO>2.0.ZU;2-B
Abstract
Sixty ASA physical status I and II, premedicated patients were administered propofol 2.mg.kg(-1) and remifentanil 2 mu g.kg(-1) (group R), alfentanil 50 mu g.kg(-1) (group A) or suxamethonium 1 mg.kg(-1) (group S) as a rapid bolus. One minute after study drug administration, tracheal intubation was performed. Intubation conditions piece then scared. Excellent or good condi tions were observed in only 35% in group R compared with groups S and A (10 0% and 85%, respectively; p < 0.001). The haemodynamic response to tracheal intubation was blunted in groups R and A compared with group S (p < 0.001) . The mean heart rate in groups R and A was significantly lower than group S (p < 0.001). We conclude that remifentanil 2 mu g.kg(-1) given as a rapid bolus will not: produce intubating conditions as good as those obtained wi th alfentanil 50 mu g.kg(-1) or suxamethonium 1 mg.kg(-1) if administered a fter propofol 2 mg.kg(-1).