British Journal of Anaesthesia, Vol 81, Issue 4 540-543, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
S. Grant, S. Noble, A. Woods, J. Murdoch and A. Davidson
We have assessed intubating conditions in three groups of 60 ASA I or II
patients after induction of anaesthesia with propofol 2 mg kg-1 and
remifentanil 0.5, 1.0 or 2.0 micrograms kg-1. Tracheal intubation was
graded according to ease of laryn-goscopy, position of the vocal cords,
coughing, jaw relaxation and movement of the limbs. Intubation was
successful in 80%, 90% and 100% of patients after remifentanil 0.5, 1.0 or
2.0 micrograms kg-1, respectively. Overall intubating conditions were
regarded as acceptable in 20%, 50% and 80% of patients, respectively. All
three groups had a decrease in arterial pressure after induction but there
was no difference between groups. The decrease in arterial pressure was not
regarded as clinically significant. Intubating conditions were best after
induction with remifentanil 2 micrograms kg and propofol 2 mg kg-1.
CLINICAL INVESTIGATIONS
Assessment of intubating conditions in adults after induction with propofol and varying doses of remifentanil
Glasgow University Department of Anaesthesia, Glasgow Royal Infirmary, Alexandra Parade, Glasgow; Department of Anaesthesia, Victoria Infirmary, Langside Road, Glasgow
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