Alfentanil and propofol for difficult intubation?

Alfentanil and propofol for difficult intubation?

Low-dose rocuronium improves conditions for tracheal intubation after induction of anaesthesia with propofol and alfentanil.

We studied 60 adult patients to assess if low doses of rocuronium improved conditions for tracheal intubation during induction of anaesthesia with propofol 2.5 mg kg-1 and alfentanil 10 micrograms kg-1. In a double-blind, randomized design, patients were allocated to one of three groups: group P = saline; group R1 = rocuronium 0.1 mg kg-1; and group R3 = rocuronium 0.3 mg kg-1. Intubation condi...

Rapid tracheal intubation with propofol, alfentanil and a standard dose of vecuronium.

We studied 60 ASA I patients with Mallampati grade 1 airways to compare emergency intubating conditions with either alfentanil 20 micrograms kg-1, propofol 2.5 mg kg-1 and vecuronium 0.1 mg kg-1, or with thiopentone 5 mg kg-1 and suxamethonium 1 mg kg-1. Ease of laryngoscopy, vocal cord status and cough response were graded. The trachea of all patients was intubated; 83% of patients in the alfe...

Remifentanil or Alfentanil for Endotracheal Intubation

In their study Imani et al. (1) have compared the use of remifentanil (5 μg/kg) or alfentanil (50 μg /kg) as adjunct to propofol infusion (2 mg/kg) for rapid sequence anesthesia induction and tracheal intubation without the use of neuromuscular blocking agents in 100 American Socienty of Anesthesiologyists (ASA) I patients aged 2050 years. In order to evaluate the effects on intubating conditio...

Sevoflurane for difficult tracheal intubation.

Three patients in whom difficult tracheal intubation was expected but awake fibreoptic intubation was not feasible presented for head and neck surgery. Anaesthesia was induced rapidly and smoothly by inhalation of sevoflurane followed by fibreoptic or conventional tracheal intubation.