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
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).