Comparison of intubating conditions and hemodynamic changes after anesthesia induction with remifentanil or fentanyl and propofol
Junke Wang
Abstract
Junke Wang
Abstract
Objective: To compare and assess the intubating conditi on s and hemodynamic changes after anesthesia induction with propofol and remifenta nnil or fentanyl. Methods:Fortypatients wereallocated int o 2 groups.After 2 minutes ,tracheal intubation was performed .We measured meanarterial pressure(MAP) and heart rate(HR) before anesthesia induction, 1 minuteafter induction, and 2 minutes after intubation.Tracheal intubating conditions w ere graded by operater. Results:Intubation was successful in100% patients of both groups.Intubating conditions were regarded as acceptable i n 80% of group I and 75% of group II .The MAP and HR after induction were lowerthan baseline(P0.05). After intubation, MAP was signifcantly different betw een the 2 groups(P0.05). Conclusion:The intubating condi tions were similar after anesthesia induction with propofol and remifentanil orfentanyl. Furthermore,the control of cardiovascular responses to tracheal intuba tion with remifenanil is more effective than that with fentanyl.
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Objective: To compare and assess the intubating conditi on s and hemodynamic changes after anesthesia induction with propofol and remifenta nnil or fentanyl. Methods:Fortypatients wereallocated int o 2 groups.After 2 minutes ,tracheal intubation was performed .We measured meanarterial pressure(MAP) and heart rate(HR) before anesthesia induction, 1 minuteafter induction, and 2 minutes after intubation.Tracheal intubating conditions w ere graded by operater. Results:Intubation was successful in100% patients of both groups.Intubating conditions were regarded as acceptable i n 80% of group I and 75% of group II .The MAP and HR after induction were lowerthan baseline(P0.05). After intubation, MAP was signifcantly different betw een the 2 groups(P0.05). Conclusion:The intubating condi tions were similar after anesthesia induction with propofol and remifentanil orfentanyl. Furthermore,the control of cardiovascular responses to tracheal intuba tion with remifenanil is more effective than that with fentanyl.
Key concepts: Fentanyl, Propofol, Remifentanil, Anesthesia, Medicine, Intubation, Tracheal intubation, Hemodynamics