Endotracheal Intubation Without Neuromuscular Blocking Agents: Is It a Good and Safe Option?

endotracheal intubation without neuromuscular blocking agents: is it a good and safe option?

Endotracheal Intubation Without Neuromuscular Blocking Agents: Is It a Good and Safe Option?

We read with great interest the article, “Use of Remifentanil and Alfentanil in Endotracheal Intubation: A Comparative Study,” by Imani et al. (1). The authors demonstrated that remifentanil in combination with propofol provides excellent conditions for endotracheal intubation in young, healthy patients to avoid the use of muscle relaxants. However, there are some points about the article’s foc...

Tracheal intubation without neuromuscular blocking agents

tracheal intubation without the use of neuromuscular blocking agents

Tracheal Intubation Without the Use of Neuromuscular Blocking Agents

I read with keen interest the article by Imani et al. (1) in which the authors compare tracheal intubating conditions following intravenous (IV) administration of remifentanil 5 μg/kg or alfentanil 50 μg/kg followed by induction of anesthesia with propofol 2 mg/kg in 100 adult patients premedicated with IV midazolam 1 mg. Intubating conditions were assessed (scoring 1 to 4) by ease of laryngosc...