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British Journal of Anaesthesia, Vol 79, Issue 3 384-385, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia

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

R. Groener and D. G. Moyes
Department of Anaesthesia, JG Strijdom and Baragwanath Hospitals, University of the Witwatersrand, Johannesburg, South Africa

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 alfentanil-propofol-vecuronium group and 86% in the thiopentone-suxamethonium group were considered to have satisfactory intubating conditions at 60 s. We conclude that the combination of alfentanil 20 micrograms kg-1, propofol 2.5 mg kg-1 and vecuronium 0.1 mg kg-1 provided adequate conditions for rapid tracheal intubation.
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