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Sufentanil for Intubation: Does this make it easier for the anesthesiologist?
- R.Dean Nava, Santhanam suresh, MD FAAP (14 April 2009)
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R.Dean Nava, Resident, Department of Anesthesiology Children's Memorial hospital, Northwestern University, Chicago, IL, Santhanam suresh, MD FAAP
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We read with interest the meticulous work of the authors in this article on the use of sufentanil for intubation using lower doses of sevoflurane. However, one of the main outocomes, i.e., nausea and vomiting and the incidence of desaturation postoperatively are not discussed at all. We routinely use a higher dose of sevoflurane for induction and intubation and do not see any significant advantage in using opioids especially if we plan on spontaneous ventilation. Are we making our practice as pediatric anesthesiologists more complicated by adding more drugs than simplifying our lives to using just a volatile agent and maybe a small dose of propofol. Although it makes pure scientific sense, is this worthwhile for the perdiatric anesthetist to use in his or her everyday practice? Conflict of Interest:None declared |
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