What is it about?
Intubation Sans Relaxant: Propofol VS. Triple Nerve Block
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Why is it important?
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.
Perspectives
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.
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This page is a summary of: Intubation Sans Relaxant: Propofol VS. Triple Nerve Block, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6119.24.
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