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Excellent intubating conditions with remifentanil-propofol and either low-dose rocuronium or succinylcholine

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dc.contributor.author Siddik-Sayyid S.M.
dc.contributor.author Taha S.K.
dc.contributor.author Kanazi G.E.
dc.contributor.author Chehade J.-M.A.
dc.contributor.author Zbeidy R.A.
dc.contributor.author Al Alami A.A.
dc.contributor.author Zahreddine B.W.
dc.contributor.author Khatib M.F.
dc.contributor.author Baraka A.S.
dc.contributor.author Aouad M.T.
dc.contributor.editor
dc.date Jul-2009
dc.date.accessioned 2017-10-05T15:29:06Z
dc.date.available 2017-10-05T15:29:06Z
dc.date.issued 2009
dc.identifier 10.1007/s12630-009-9106-x
dc.identifier.isbn
dc.identifier.issn
dc.identifier.uri http://hdl.handle.net/10938/15095
dc.description.abstract Purpose: The shortest time to tracheal intubation, the best intubating conditions, and the shortest duration of muscle paralysis are achieved with succinylcholine. During a lidocaine-remifentanil-propofol induction of anesthesia, we compared intubating conditions 90 s after administering low-dose rocuronium (0.3 mg • kg-1) with intubating conditions 60 s after administering succinylcholine 1.5 mg • kg-1. Methods: The randomized double-blind study included 184 healthy adult patients scheduled for elective surgery. Anesthesia was induced in all patients with lidocaine 1.5 mg • kg-1, remifentanil 2 μg • kg-1, and propofol 2 mg • kg-1 administered over 30 s. In one group, rocuronium 0.3 mg • kg-1 was administered before the induction sequence, and in the other group, succinylcholine 1.5 mg • kg-1 was administered after the induction sequence. Laryngoscopy was attempted 90 s after rocuronium administration and 60 s after succinylcholine administration. Intubating conditions were assessed as excellent, good, or poor on the basis of ease of laryngoscopy, position of the vocal cords, and reaction to insertion of the tracheal tube and cuff inflation. Results: There were 92 patients per group. In the rocuronium group, intubating conditions were excellent in 83 patients (90percent), good in 8 (9percent), and poor in 1 (1percent), not significantly different from the intubating conditions in the succinylcholine group, which were excellent in 88 patients (96percent), good in 3 (3percent), and poor in 1 (1percent) (P = 0.3). Conclusion: During a lidocaine-remifentanil-propofol induction of anesthesia, rocuronium 0.3 mg • kg-1 administered before the induction sequence provides intubating conditions comparable to those achieved with succinylcholine 1.5 mg • kg-1 administered after the induction sequence. © 2009 Canadian Anesthesiologists' Society.
dc.format.extent
dc.format.extent Pages: (483-488)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: Canadian Journal of Anesthesia; Publication Year: 2009; Volume: 56; no. 7; Pages: (483-488);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Excellent intubating conditions with remifentanil-propofol and either low-dose rocuronium or succinylcholine
dc.type Article
dc.contributor.affiliation Siddik-Sayyid, S.M., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Taha, S.K., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Kanazi, G.E., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Chehade, J.-M.A., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Zbeidy, R.A., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Al Alami, A.A., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Zahreddine, B.W., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Khatib, M.F., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Baraka, A.S., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.affiliation Aouad, M.T., Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon
dc.contributor.authorAddress Aouad, M. T.; Department of Anesthesiology, American University, Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon; email: mm01@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Anesthesiology;
dc.contributor.authorDepartment Anesthesiology
dc.contributor.authorDivision
dc.contributor.authorEmail mm01@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Siddik-Sayyid, SM
dc.contributor.authorInitials Taha, SK
dc.contributor.authorInitials Kanazi, GE
dc.contributor.authorInitials Chehade, JMA
dc.contributor.authorInitials Zbeidy, RA
dc.contributor.authorInitials Al Alami, AA
dc.contributor.authorInitials Zahreddine, BW
dc.contributor.authorInitials Khatib, MF
dc.contributor.authorInitials Baraka, AS
dc.contributor.authorInitials Aouad, MT
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Aouad, MT (reprint author), Amer Univ Beirut, Med Ctr, Dept Anesthesiol, POB 11-0236, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited AGOSTON S, 1995, EUR J ANAESTH, V12, P31; Andrews JI, 1999, ACTA ANAESTH SCAND, V43, P4, DOI 10.1034-j.1399-6576.1999.430102.x; Barclay K, 1997, BRIT J ANAESTH, V78, P92; CORMACK RS, 1984, ANAESTHESIA, V39, P1105, DOI 10.1111-j.1365-2044.1984.tb08932.x; Fuchs-Buder T, 2007, ACTA ANAESTH SCAND, V51, P789, DOI 10.1111-j.1399-6576.2007.01352.x; Geldner G, 2001, Eur J Anaesthesiol Suppl, V23, P43; HANLEY JA, 1983, JAMA-J AM MED ASSOC, V249, P1743, DOI 10.1001-jama.249.13.1743; Heier T, 2000, ANESTH ANALG, V90, P175, DOI 10.1097-00000539-200001000-00036; Kirkegaard-Nielsen H, 1999, ANESTHESIOLOGY, V91, P131, DOI 10.1097-00000542-199907000-00021; Klemola UM, 2000, ACTA ANAESTH SCAND, V44, P465, DOI 10.1034-j.1399-6576.2000.440419.x; Kopman AF, 2001, ANESTH ANALG, V93, P954, DOI 10.1097-00000539-200110000-00030; Larsen PB, 2005, EUR J ANAESTH, V22, P748, DOI 10.1017-S0265021505001249; MEISTELMAN C, 1992, CAN J ANAESTH, V39, P665; Mencke T, 2003, ANESTHESIOLOGY, V98, P1049, DOI 10.1097-00000542-200305000-00005; Naguib Mohamed, 2003, Middle East Journal of Anesthesiology, V17, P193; Schlaich N, 2000, ACTA ANAESTH SCAND, V44, P720, DOI 10.1034-j.1399-6576.2000.440610.x; Sluga M, 2005, ANESTH ANALG, V101, P1356, DOI 10.1213-01.ANE.0000180196.58567.FE; Sparr HJ, 1996, ACTA ANAESTH SCAND, V40, P425; Stevens JB, 1998, ANESTH ANALG, V86, P45, DOI 10.1097-00000539-199801000-00009; Taha S, 2005, CAN J ANAESTH, V52, P249
dc.description.citedCount 11
dc.description.citedTotWOSCount 8
dc.description.citedWOSCount 7
dc.format.extentCount 6
dc.identifier.articleNo
dc.identifier.coden CJOAE
dc.identifier.pubmedID 19440810
dc.identifier.scopusID 67651172811
dc.identifier.url
dc.publisher.address 233 SPRING ST, NEW YORK, NY 10013 USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Can. J. Anaesth.-J. Can. Anesth.
dc.relation.ispartOfIssue 7
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Canadian Journal of Anesthesia
dc.relation.ispartofPubTitleAbbr Can. J. Anesth.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 56
dc.source.ID WOS:000267391000003
dc.type.publication Journal
dc.subject.otherAuthKeyword
dc.subject.otherChemCAS lidocaine, 137-58-6, 24847-67-4, 56934-02-2, 73-78-9
dc.subject.otherChemCAS propofol, 2078-54-8
dc.subject.otherChemCAS remifentanil, 132539-07-2
dc.subject.otherChemCAS rocuronium, 119302-91-9
dc.subject.otherChemCAS suxamethonium, 306-40-1, 71-27-2
dc.subject.otherChemCAS Androstanols
dc.subject.otherChemCAS Anesthetics, Intravenous
dc.subject.otherChemCAS Anesthetics, Local
dc.subject.otherChemCAS Lidocaine, 137-58-6
dc.subject.otherChemCAS Neuromuscular Depolarizing Agents
dc.subject.otherChemCAS Neuromuscular Nondepolarizing Agents
dc.subject.otherChemCAS Piperidines
dc.subject.otherChemCAS Propofol, 2078-54-8
dc.subject.otherChemCAS Succinylcholine, 306-40-1
dc.subject.otherChemCAS remifentanil, 132875-61-7
dc.subject.otherChemCAS rocuronium, 143558-00-3
dc.subject.otherIndex lidocaine
dc.subject.otherIndex propofol
dc.subject.otherIndex remifentanil
dc.subject.otherIndex rocuronium
dc.subject.otherIndex suxamethonium
dc.subject.otherIndex adult
dc.subject.otherIndex anesthesia
dc.subject.otherIndex anesthesia induction
dc.subject.otherIndex article
dc.subject.otherIndex clinical assessment
dc.subject.otherIndex clinical trial
dc.subject.otherIndex controlled clinical trial
dc.subject.otherIndex controlled study
dc.subject.otherIndex double blind procedure
dc.subject.otherIndex elective surgery
dc.subject.otherIndex endotracheal cuff
dc.subject.otherIndex endotracheal intubation
dc.subject.otherIndex endotracheal tube
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex laryngoscopy
dc.subject.otherIndex low drug dose
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex paralysis
dc.subject.otherIndex position
dc.subject.otherIndex priority journal
dc.subject.otherIndex randomized controlled trial
dc.subject.otherIndex vocal cord
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex Androstanols
dc.subject.otherIndex Anesthetics, Intravenous
dc.subject.otherIndex Anesthetics, Local
dc.subject.otherIndex Dose-Response Relationship, Drug
dc.subject.otherIndex Double-Blind Method
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Intubation, Intratracheal
dc.subject.otherIndex Laryngoscopy
dc.subject.otherIndex Lidocaine
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Neuromuscular Depolarizing Agents
dc.subject.otherIndex Neuromuscular Nondepolarizing Agents
dc.subject.otherIndex Piperidines
dc.subject.otherIndex Propofol
dc.subject.otherIndex Prospective Studies
dc.subject.otherIndex Succinylcholine
dc.subject.otherIndex Surgical Procedures, Elective
dc.subject.otherIndex Vocal Cords
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus RAPID-SEQUENCE INDUCTION
dc.subject.otherKeywordPlus TRACHEAL INTUBATION
dc.subject.otherKeywordPlus MUSCLE-RELAXANTS
dc.subject.otherKeywordPlus RANDOMIZED-TRIAL
dc.subject.otherKeywordPlus ANESTHESIA
dc.subject.otherKeywordPlus ALFENTANIL
dc.subject.otherKeywordPlus ONSET
dc.subject.otherWOS Anesthesiology


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