EVALUATING THE EFFECTIVENESS OF ANESTHETIC METHOD WITHOUT MUSCLE RELAXANT FOR ENDOTRACHEAL INTUBATION IN NASOPHARYNGEAL SURGERY
Main Article Content
Abstract
Background: The purpose of this study is to evaluate the effectiveness of anesthetic methods without the use of muscle relaxants for endotracheal intubation in nasopharyngeal surgery. Subjects and research methods: Descriptive study, convenient randomization of patients assigned to planned endoscopic nasopharyngeal surgery at 109 Military Hospital during the period from October 2012 to September 2015. Evaluation criteria: Intubation results, pulse changes, blood pressure, oxygen saturation (SpO2), undesirable effects. Results: There were 323 patients included in the study. There are 91.95% cases with good intubation results. There was no statistically significant difference in pulse, systolic blood pressure, SpO2 before and after intubation (p>0.05). Uncommon side effects: laryngospasm (0.31%); oropharyngeal bleeding (0.31%). Conclusion: Anesthesia without muscle relaxant for endotracheal intubation is a method that can be applied with good results
Article Details
Keywords
Endotracheal anesthesia; muscle relaxants; intubation
References
2. Feng., Aiden Y. et al. (2017), "Novel propofol derivatives and implications for anesthesia practice". 33(1), 9.
3. Jeon, Y. T., & Park, H. P. (2013), “Reply to: optimal remifentanil dose for lightwand intubation without muscle relaxants”, European Journal of Anaesthesiology| EJA, 30(7), 446.
4. Pang, L., Zhuang, Y. Y., Dong, S., Ma, H. C., et.al (2014), “Intubation without muscle relaxation for suspension laryngoscopy: a randomized, controlled study”, Nigerian Journal of Clinical Practice, 17(4), 456-461.
5. Prem Kumar, M. (2013), “Comparison of Sevoflurane and Propofol with Fentanyl for Tracheal Intubation Without Muscle Relaxant”, Doctoral dissertation, Madras Medical College, Chennai.
6. Senapathi, T. G. A., Budiarta, I. G., Suarjaya,
I. P. P., et.al (2020), “The use of remifentanil without muscle relaxant for intubation in short- timed, elective surgeries”, Bali Journal of Anesthesiology, 4(1), 22.
7. Woods, A. W., & Allam, S. (2005), “Tracheal intubation without the use of neuromuscular blocking agents”, British journal of anaesthesia, 94(2), 150-158.
8. Yazdi, B. I. J. A. N., Khalili, M., Dadashpour, N., et.al (2016), “The comparison of atracurium and remifentanil effect on jaw relaxation and tracheal intubation condition without muscle relaxant in patients undergoing elective surgery”, Acta Med Mediterranea, 32, 1029-1032.