The influence of induction technique on intubating conditions 1 min after rocuronium administration: a comparison of a propofol-ephedrine combination and propofol.

Abstract:

:We conducted a double blind, prospective, controlled trial comparing intubating conditions after induction with a propofol-ephedrine combination or propofol alone, followed by rocuronium. One hundred adult patients were randomly assigned to receive either propofol 2.5 mg x kg(-1) and ephedrine 15 mg in combination or propofol 2.5 mg x kg(-1) given over 30 s, followed by rocuronium 0.6 mg x kg(-1) given over 5 s. Tracheal intubation was performed 1 min later. Jaw relaxation, vocal cord position and diaphragmatic response were used to assess intubation conditions. Tracheal intubation was successful and acceptable in all patients. There was a significantly higher proportion of intubating conditions graded as 'excellent' in the propofol-ephedrine group (84%) than in the propofol group (32%) (p < 0.0001). Vocal cord position and response to intubation were significantly better in the propofol-ephedrine group, although jaw relaxation was similar. Mean arterial pressure was maintained at pre-induction levels in the propofol-ephedrine group. In conclusion, induction with propofol and ephedrine in combination provided significantly better intubating conditions than propofol alone, when followed by rocuronium.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Tan CH,Onisong MK,Chiu WK

doi

10.1046/j.0003-2409.2001.02449.x

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

223-6

issue

3

eissn

0003-2409

issn

1365-2044

pii

2449

journal_volume

57

pub_type

临床试验,杂志文章,随机对照试验
  • Regional anaesthesia in day-stay and short-stay surgery.

    abstract::The goals for ambulatory surgery are rapid recovery with minimal side effects, adequate postoperative pain control, rapid patient discharge and overall cost containment. The addition of regional anaesthetic techniques has been shown to decrease nausea, postoperative pain scores and the need for post-anaesthesia care u...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2009.06204.x

    authors: Kopp SL,Horlocker TT

    更新日期:2010-04-01 00:00:00

  • Anaesthesia equipment malfunction.

    abstract::Anaesthetic equipment was studied to determine whether the accuracy was improved and failure rate decreased by routine maintenance and calibration by a biomedical technician. Each piece was evaluated, and then repaired and rechecked at intervals by the same technician. Equipment failures were divided into three types:...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10505.x

    authors: Holley HS,Carroll JS

    更新日期:1985-01-01 00:00:00

  • Dutch case-control study of anaesthesia-related morbidity and mortality. Rationale and methods.

    abstract::To date, anaesthesia-related mortality, morbidity and risk factors have almost exclusively been studied qualitatively rather than quantitatively. Therefore, knowledge of the relative risk associated with many anaesthesia-related factors is still lacking. Recently, a quantitative study of the determinants and preventio...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00303.x

    authors: Arbous MS,Grobbee DE,van Kleef JW,Meursing AE

    更新日期:1998-02-01 00:00:00

  • Continuous monitoring of irrigating fluid absorption during transurethral surgery.

    abstract::We have designed an automatic detector system for noninvasive monitoring of irrigating fluid absorption during transurethral resection of the prostate. Ethanol, which is used as a tracer for the fluid, is measured in the expired breath of the patient. The breath ethanol monitor can be used both in the awake patient an...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb04609.x

    authors: Hahn RG,Larsson H,Ribbe T

    更新日期:1995-04-01 00:00:00

  • The effect of the European Working Time Directive on anaesthetic working patterns and training.

    abstract::There is concern that the European Working Time Directive 2009 has led to reduced time available for training, and this study examined if this has been the case. For two identical six-month periods in 1999 (pre-Directive) and 2009 (post-Directive), weekly data were collected on the total number of sessions attended by...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2012.07227.x

    authors: Paul RG,Bunker N,Fauvel NJ,Cox M

    更新日期:2012-09-01 00:00:00

  • Immediate care of cardiac emergencies.

    abstract::The emergency treatment of serious disorders of cardiac rhythm, left heart failure, cardiogenic shock, and cyanotic attacks is discussed. The article is intended for medical practitioners without special cardiological experience. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb11866.x

    authors: Chamberlain DA,Williams JH

    更新日期:1976-07-01 00:00:00

  • Routine pre-operative chest radiography. 1977 compared with 1955 at Peterborough District General Hospital.

    abstract::Routine pre-operative chest X-rays have been taken for 22 years. There has been recent criticism of this investigation. 1000 such X-rays taken in 1977 are compared with the same number in 1955. It appears now that routine pre-operative chest X-rays are not necessary under 30 years of age but that they are essential ov...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08334.x

    authors: Loder RE

    更新日期:1978-11-01 00:00:00

  • Cardioversion in late pregnancy. The anaesthetic management of a case of Wolff-Parkinson-White syndrome.

    abstract::A case history is presented of a woman with known Wolff-Parkinson-White syndrome who, in late pregnancy, developed repeated supraventricular tachycardia, requiring direct current cardioversion. The anaesthetic problems and some pharmacological aspects of the management are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb10325.x

    authors: Klepper I

    更新日期:1981-06-01 00:00:00

  • Intra-operative collapse or death related to the use of acrylic cement in hip surgery.

    abstract::Six intra-operative deaths and two episodes of near-fatal hypotension occurred in 52 consecutive Hastings procedures (insertion of metal prosthesis grouted in acrylic cement) for subcapital fracture of the femoral neck. This high complication rate was identified by a system of clinical audit undertaken by members of t...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11168.x

    authors: Duncan JA

    更新日期:1989-02-01 00:00:00

  • Mortality from percutaneous dilatational tracheostomy. A report of three cases.

    abstract::We report three deaths following percutaneous dilatational tracheostomy in a series of 1187 procedures undertaken in a single intensive care unit over a 13-year period. All deaths were due to severe haemorrhage. The first patient died during the procedure from uncontrollable haemorrhage from the innominate vein. Delay...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04137.x

    authors: McCormick B,Manara AR

    更新日期:2005-05-01 00:00:00

  • Anterior mediastinal masses: an anaesthetic challenge.

    abstract::A patient with a large anterior mediastinal mass with minimal respiratory symptoms presented for a diagnostic biopsy of the mass. A pre-operative thoracic computed tomographic scan demonstrated narrowing of the distal trachea, and right and left main stem bronchi. An awake intubation was done. Thiopentone and muscle r...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.1999.00961.x

    authors: Goh MH,Liu XY,Goh YS

    更新日期:1999-07-01 00:00:00

  • The nasopharyngeal airway. Assessment of position by fibreoptic laryngoscopy.

    abstract::Artificial nasopharyngeal airway position and performance were assessed in 120 anaesthetised adult patients. Using a fibreoptic laryngoscope mean distances from nares to larynx were measured at 209 mm (SD 11) in males and 180 mm (SD 11) in females; those from nares to epiglottis were 159 mm (SD 12) in males and 140 mm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07119.x

    authors: Stoneham MD

    更新日期:1993-07-01 00:00:00

  • Spinal anaesthesia for urological surgery. A survey of failure rate, postdural puncture headache and patient satisfaction.

    abstract::A survey was conducted on 100 consecutive patients who underwent spinal anaesthesia in our urology operating theatres. Details of the spinal technique were recorded in the operating theatre. In 25% of patients, more than one attempt at subarachnoid puncture was required and 16% of this group went on to require general...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb03161.x

    authors: Harrison DA,Langham BT

    更新日期:1992-10-01 00:00:00

  • Peri-operative cardiac biomarker screening: a narrative review.

    abstract::Peri-operative risk estimation has traditionally focused on assessing the likelihood of postoperative morbidity and mortality using pre-operative functional assessment. Although this strategy is currently recommended by most major society guidelines, contemporary evidence suggests that cardiac biomarker measurement ha...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.14920

    authors: Ruzycki SM,Prystajecky M,Driedger MR,Kachra R

    更新日期:2020-01-01 00:00:00

  • 0.125% bupivacaine for obstetric analgesia?

    abstract::A prospective trial was designed to assess the effectiveness of three different concentrations of bupivacaine (Marcain) for use in obstetric epidural analgesia. The purpose of the study was to see if reduction of the concentration of bupivacaine to 0.125% would reduce the total dose of the drug given without reducing ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1978.tb08269.x

    authors: Stainthorp SF,Bradshaw EG,Challen PD,Tobias MA

    更新日期:1978-01-01 00:00:00

  • The implications of HIV for the anaesthetist and the intensivist.

    abstract::The acquired immune deficiency syndrome has reached pandemic proportions. Anaesthetists should be aware of the implications of dealing with increasing numbers of both diagnosed and undiagnosed, symptomatic and asymptomatic, human immunodeficiency virus-infected patients in the fields of intensive therapy, operating th...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.2000.01265.x

    authors: Avidan MS,Jones N,Pozniak AL

    更新日期:2000-04-01 00:00:00

  • Persistent abdominal pain. Treatment by lumbar sympathetic lysis.

    abstract::The organic and psychological problems of patients suffering from chronic abdominal pain are described and three case histories of patients who had undergone multiple surgery for their abdominal pain are presented. All three were treated by lumbar sympathetic lysis, resulting in relief of their pain. The possible reas...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb10202.x

    authors: Duthie AM,Ingham V

    更新日期:1981-03-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • Delirium after transcatheter aortic valve implantation via the femoral or apical route.

    abstract::We thought that delirium might be less frequent after transcatheter aortic valve implantation via the femoral artery compared with via the cardiac apex. We reviewed 210 patients who underwent transcatheter aortic valve implantation between January 2009 and October 2014. The proportion (95% CI) of patients who suffered...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13524

    authors: Sharma V,Katznelson R,Horlick E,Osten M,Styra R,Cusimano RJ,Carroll J,Djaiani G

    更新日期:2016-08-01 00:00:00

  • Cor pulmonale and the Pierre Robin anomaly. Airway management with a nasopharyngeal tube.

    abstract::An infant with Pierre Robin anomaly was anaesthetised for cardiac catheterisation. There was cor pulmonale with the pulmonary artery pressure at systemic level, a patent foramen ovale and a persistent ductus arteriosus. The effects of alterations in blood gases on the haemodynamics and intracardiac shunts are consider...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb05097.x

    authors: Freeman MK,Manners JM

    更新日期:1980-03-01 00:00:00

  • Phenylbutazone self-poisoning treated by charcoal haemoperfusion.

    abstract::A case is presented of a patient who ingested a potentially fatal dose of phenylbutazone. Her clinical condition deteriorated despite adequate supportive therapy and the use of charcoal haemoperfusion proved life-saving. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06256.x

    authors: Strong JE,Wilson J,Douglas JF,Coppel DL

    更新日期:1979-11-01 00:00:00

  • Clinical pharmacokinetics of fazadinium.

    abstract::Fazadinium was administered as an intravenous bolus of 0.5 or 1 mg/kg to nine patients during neurolept-anaesthesia. Continuous recording of neuromuscular activity and serial collection of blood samples for drug assay allowed the relationship between neuromuscular blockade and plasma fazadinium concentration to be stu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03946.x

    authors: Bevan DR,D'Souza J,Rouse JM,Caldwell J,Smith RL

    更新日期:1980-09-01 00:00:00

  • A comparison of percutaneous and perconjunctival routes of administration of peri-ocular anaesthesia for day case cataract surgery.

    abstract::This study of 100 day case patients having cataract surgery under local anaesthesia compared patient acceptance of two peri-ocular techniques; a transcutaneous method and a transconjunctival method. A significant difference was found in relation to the pain felt on injection such that all peri-ocular blocks at our uni...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06958.x

    authors: Sweeney EJ,Barber K,Prosser JA

    更新日期:1993-04-01 00:00:00

  • Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation.

    abstract::The Airtraq, a novel single use indirect laryngoscope, has demonstrated promise in the normal and simulated difficult airway. We compared the ease of intubation using the Airtraq with the Macintosh laryngoscope, in patients at increased risk for difficult tracheal intubation, in a randomised, controlled clinical trial...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05316.x

    authors: Maharaj CH,Costello JF,Harte BH,Laffey JG

    更新日期:2008-02-01 00:00:00

  • Effects of nitrous oxide on liver haemodynamics and oxygen consumption in the greyhound.

    abstract::The effects of increasing concentrations of nitrous oxide 30, 50 and 70% on the hepatic circulation and hepatic oxygen consumption were investigated in seven normocapnic greyhounds. Hepatic arterial and portal venous blood flows were measured continuously using electromagnetic flow probes, and mean arterial pressure a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1982.tb01225.x

    authors: Thomson IA,Hughes RL,Fitch W,Campbell D

    更新日期:1982-05-01 00:00:00

  • Sequential organ scoring as a measure of effectiveness of care in the high-dependency unit.

    abstract::High-dependency units are of benefit to patients and to the associated intensive care unit. However, the effectiveness of high-dependency care has not been quantified. We studied 100 consecutive patients whose high-dependency unit admission was longer than 48 h. The Logistic Organ Dysfunction System was used to assess...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2001.02179.x

    authors: De Silva RJ,Anderson A,Tempest H,Ridley S

    更新日期:2001-09-01 00:00:00

  • Conservation ethics and anaesthesia.

    abstract::The current attitude of conservators towards restoration is to preserve objects and materials in the condition as they are but without attempting to restore them 'as new'. Museum objects have generally ceased to serve their original utilitarian function but have become objects for study, information and inspiration. C...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03402.x

    authors: Houghton IT

    更新日期:2003-10-01 00:00:00

  • Reliability of pressure waveform analysis to determine correct epidural needle placement in labouring women.

    abstract::Pressure waveform analysis provides a reliable confirmatory adjunct to the loss-of-resistance technique to identify the epidural space during thoracic epidural anaesthesia, but its role remains controversial in lumbar epidural analgesia during labour. We performed an observational study in 100 labouring women of the s...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13872

    authors: Al-Aamri I,Derzi SH,Moore A,Elgueta MF,Moustafa M,Schricker T,Tran DQ

    更新日期:2017-07-01 00:00:00

  • Phaeochromocytoma as a cause of pulmonary oedema.

    abstract::Phaeochromocytoma can mimic many serious disease entities. This report describes a 43-year-old man who presented with pulmonary oedema due to a phaeochromocytoma. Predominantly adrenaline-secreting tumours seem to predispose to this complication. Labetalol, a combined alpha- and beta-receptor blocker, should be consid...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03092.x

    authors: Blom HJ,Karsdorp V,Birnie R,Davies G

    更新日期:1987-06-01 00:00:00

  • Haemodynamic and oxygen transport effects of propofol infusion in critically ill adults.

    abstract::The effects of a sedative infusion of propofol on haemodynamics and oxygen transport were examined in critically ill adult patients. Ten patients receiving mechanical ventilation for treatment of septic shock and respiratory failure were given a decreasing rate propofol infusion designed to achieve and maintain a stab...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb03517.x

    authors: Nimmo GR,Mackenzie SJ,Grant IS

    更新日期:1994-06-01 00:00:00