Intubation Sans Relaxant: Propofol VS. Triple Nerve Block
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 1
Abstract
Aims: Methods that avoid use of muscle relaxants during intubation help us when their use would be detrimental to the patient/situation. Here we aim at intubations without muscle relaxants which could be of great significance in difficult airways. Settings and Design: It was a Randomised, prospective, comparative and double blinded study. Methods and Material: After approval by institutional ethical committee the study was conducted 60 patients of ASA I and II who were scheduled for elective surgeries under general anaesthesia. Group P: Direct Laryngoscopy using inducing doses of Propofol (2-3 mg/kg). Group N: Direct laryngoscopy using Triple nerve block technique. • Group P: Direct Laryngoscopy and intubation was done with inducing doses of propofol (2-3mg/kg). • Group N: The lingual branch of the Glossopharyngeal nerve, Bilateral superior and recurrent laryngeal nerve block were given. Statistical analysis used: Haemodynamic values were analysed using the Student’s unpaired‘t’ test. Intubation grades were measured using Mann Whitney U test. Results: Intubating condition, ease of intubation and haemodynamic stability is better in triple nerve block group than propofol group. Conclusions: And Triple nerve block provides better ease and intubating conditions and haemodynamic stability compared to intubations using Propofol.
Authors and Affiliations
Ruchi Tandon
Keywords
Related Articles
- EP ID EP601021
- DOI 10.21088/ijaa.2349.8471.6119.24
- Views 100
- Downloads 0
Comparative Analysis of Bupivacaine and Ropivacaine during Epidural Analgesia
IASP defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of the actual damage.” This definition embraces various concepts especially the...
Difficult airway Assessment: Comparison of Upper Lip Bite Test (ULBT) and Modified Mallampati Test (MMT)
Airway management is most important job of anaesthesiologists. Difficult airway is assessed mainly comparing different parameters of airway assessment. In this study we mainly compare Upper Lip Bite test (ULBT) and Modif...
A Randomised Prospective Double Blinded Study of Intrathecal Levobupivacaine with Fentanyl Verses Clonidine for Infraumblical Surgeries
Background and aims: Subarachnoid block can be performed with many local anaesthetic agents. Besides hyperbaric bupivacaine even isobaric levobupivacaine and ropivacaine can also be used with minimal cardiotoxicity. Adju...
Effect of Dexmedetomidine on Emergence Characteristics in Children Undergoing Adenotonsillectomy Using Sevoflurane Anaesthesia
Background: Sevoflurane, a widely used volatile anaesthetic in children is associated with an increased risk of emergence agitation. Agitation can lead to increased bleeding from the operative sites, pulling out drains o...
Comparative Study of Dexmedetomidine vs Midazolam Infusion for ICU Sedation
Sedation & Analgesia are generally taken as one entity in intensive care unit and disproportionate use of sedative is associated with adverse outcomes including patients restlessness, excessive sedation, longer ICU (inte...