Tracheal intubation of outpatients with and without muscle relaxants

Tracheal 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...

Tracheal 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...

tracheal intubation without use of muscle relaxants: comparison of remifentanil and alfentanil

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...

Survival of trauma patients who have prehospital tracheal intubation without anaesthesia or muscle relaxants: observational study.

In the United Kingdom, it is current practice for paramedics to perform tracheal intubation on trauma patients when the airway is compromised and basic airway manoeuvres have failed. Paramedics in Britain never use anaesthetic drugs or muscle relaxants to achieve intubation. Anecdotal experience shows that patients who can be intubated without the use of drugs have a poor prognosis. We investig...