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Titolo: ENDOTRACHEAL INTUBATION UNDER PROPOFOL, A SSOCIATED OR NOT WITH VECURONIUM
Autore: ROUSSEAU JM; LEMARDELEY P; GIRAUD D; LEMARIE J; LADAGNOUS JF; BARRIOT P; PITTI R;
- Indirizzi:
- HIA LEGOUEST,DEPT ANESTHESIE REANIMAT,BP 10 F-57998 METZ ARMEES FRANCE
- Titolo Testata:
- Annales francaises d'anesthesie et de reanimation
fascicolo: 3,
volume: 14,
anno: 1995,
pagine: 261 - 264
- SICI:
- 0750-7658(1995)14:3<261:EIUPAS>2.0.ZU;2-9
- Fonte:
- ISI
- Lingua:
- FRE
- Keywords:
- ENDOTRACHEAL; INTUBATION; PROPOFOL; VECURONIUM;
- Tipo documento:
- Article
- Natura:
- Periodico
- Settore Disciplinare:
- Science Citation Index Expanded
- Citazioni:
- NO
- Recensione:
- Indirizzi per estratti:
-
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- Citazione:
- J.M. Rousseau et al., "ENDOTRACHEAL INTUBATION UNDER PROPOFOL, A SSOCIATED OR NOT WITH VECURONIUM", Annales francaises d'anesthesie et de reanimation, 14(3), 1995, pp. 261-264
Abstract
Objective: In order to test the hypothesis that under the associationpropofol-alfentanil-IV lidocaine the trachea could be intubated easily without an additional muscle relaxant, this study compared the intubation conditions when this association was combined or not with vecuronium. Study design: Randomized comparative trial. Patients: The study included 152 young adults classified as ASA physical class I and Mallampati presentation grade 1, randomly allocated either into Vecu+ groupor Vecu0 group, depending on whether vecuronium was coadministered ornot. Methods: All patients received midazolam 0.05 mg . kg(-1) i.v., one minute before induction. Those of group Vecu0 were given successively within two minutes: alfentanil 0.03 mg . kg(-1), lidocaine 1.5 mg . kg(-1) i.v. and propofol 2.5 mg . kg(-1). Patients of group Vecu+ received similar doses of alfentanil and propofol as well as vecuronium 0.08 mg . kg(-1). The endotracheal tube was inserted one minute after induction in the patients of Vecu0 group, and after three minutes in those of the Vecu+ group. During intubation, scores of mouth opening, glottis opening and coughing were established, in order to assess intubation conditions. Results: Similar convenient intubating conditions were obtained in both groups (in 97 % of patients in Vecu+ group vs 95 %of those in Vecu0 group). In the latter, the glottis opening was lesspronounced. Conclusions: In young healthy adults, without anaestheticrisk (emergency, full stomach) and without foreseen difficult intubation, the endotracheal tube can be inserted in convenient conditions without a muscle relaxant, under the association propofol-alfentanil-lidocaine iv.
ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/05/13 alle ore 22:57:58