Tracheal intubation without neuromuscular block in children

We have studied 80 healthy children, aged 2–14 yr, undergoing adenotonsillectomy in a double-blind, randomized design. Tracheal intubation facilitated by either suxamethonium 1.5 mg kg−1 or alfentanil 15 μg kg−1 was compared after induction of anaesthesia with propofol 3–4 mg kg−1. The quality of tr...

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Bibliographic Details
Published in:British Journal of Anaesthesia 1994-04, Vol.72 (4), p.403-406
Main Authors: STEYN, M.P., QUINN, A.M., GILLESPIE, J.A., MILLER, D.C., BEST, C.J., MORTON, N.S.
Format: Article
Language:English
Subjects:
Adenoidectomy
Adolescent
Alfentanil
Analgesics
Anesthesia
Anesthesia depending on patient's condition
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Pressure
Child
Child, Preschool
Cough
Double-Blind Method
Female
Heart Rate
Humans
Intubation, Intratracheal
Intubation: tracheal
Male
Medical sciences
Movement
Neuromuscular block: suxamethonium
Neuromuscular Blocking Agents - administration & dosage
Neuromuscular Junction
opioid: alfentanil
Succinylcholine
Tonsillectomy
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Summary:We have studied 80 healthy children, aged 2–14 yr, undergoing adenotonsillectomy in a double-blind, randomized design. Tracheal intubation facilitated by either suxamethonium 1.5 mg kg−1 or alfentanil 15 μg kg−1 was compared after induction of anaesthesia with propofol 3–4 mg kg−1. The quality of tracheal intubation was graded according to the ease of laryngoscopy, position of the vocal cords, coughing, jaw relaxation and movement of limbs. There were no significant differences in the overall assessment of intubating conditions between the two groups, and all children underwent successful tracheal intubation. Fewer patients coughed (P < 0.014) and limb movement was less common (P < 0.007) after tracheal intubation facilitated by suxamethonium. Alfentanil attenuated the haemodynamic responses to tracheal intubation. (Br. J. Anaesth. 1994; 72: 403–406)
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/72.4.403