UNASSIGNED: This study compares the ease of tracheal intubation between propofol-suxamethonium (1.5 mg/kg) and propofol-fentanyl (3 mcg/kg) during general anaesthesia among children.
UNASSIGNED: In this double-blind randomised controlled study, 84 ASA I or II patients booked for elective surgery under general anaesthesia requiring tracheal intubation were randomised into two groups (F and S). Induction was with propofol 3 mg/kg over 30 s followed by either fentanyl 3 mcg/kg or suxamethonium 1.5 mg/kg. Two minutes later, there was an attempt at intubation and intubating conditions were assessed using Steyn\'s modification of Helbo-Hansen\'s score (ease of laryngoscopy, jaw relaxation, coughing, vocal cord position, and limb movement).
UNASSIGNED: All patients in both groups had successful intubation at the first attempt. Patients in group S (suxamethonium) had significantly better overall intubating conditions compared to those in group F (fentanyl) (p=0.0001), 85.7% in group S compared to 21.4% in group F had excellent intubation condition. None of the patients in the two groups demonstrated fair or poor intubation condition.
UNASSIGNED: A combination of propofol-fentanyl can be used as an alternative to propofol-suxamethonium to ease intubation in paediatric patients.
UNASSIGNED:这项研究比较了儿童全身麻醉时丙泊酚-suxamethium(1.5mg/kg)和丙泊酚-芬太尼(3mcg/kg)气管插管的方便性。
未经评估:在这项双盲随机对照研究中,84名在全身麻醉下需要气管插管的择期手术的ASAI或II患者被随机分为两组(F和S)。在30s内使用丙泊酚3mg/kg进行诱导,然后使用芬太尼3mcg/kg或甲胺1.5mg/kg。两分钟后,曾尝试插管,使用Steyn修改的Helbo-Hansen评分(喉镜检查的简易程度,下巴放松,咳嗽,声带位置,和肢体运动)。
UNASSIGNED:两组患者首次插管均成功。与F组(芬太尼)相比,S组(suxamethonium)患者的总体插管条件明显更好(p=0.0001),S组为85.7%,F组为21.4%,插管情况良好。两组患者均未表现出一般或较差的插管条件。
UNASSIGNED:丙泊酚-芬太尼的组合可以用作丙泊酚-舒沙胺铵的替代品,以缓解儿科患者的插管。