LOW DOSE OF REMIFENTANIL IN FACILITATING THE INSERTION OF LARYNGEAL MASK AIRWAY

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HOSSEINZADEH H.; NEGARGAR S.; MOVASSAGHI R.; MAHMOUDPOUR A.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2005 | Volume:27 | Issue:49 Page(s): 52-58

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Title

LOW DOSE OF REMIFENTANIL IN FACILITATING THE INSERTION OF LARYNGEAL MASK AIRWAY

Author(s)

HOSSEINZADEH H. | NEGARGAR S. | MOVASSAGHI R. | MAHMOUDPOUR A. | Issue Writer Certificate

Keywords

LARYNGEAL MASK AIRWAYQ4

PROPOFOLQ3

REMIFENTANILQ3

Abstract

Background and Objective: The LARYNGEAL MASK AIRWAY has an important role in airway management in the operating room and also as an emergency airway adjunct in other locations. In common practice PROPOFOL and muscle relaxant are used for insertion of laryngeal mask, but PROPOFOL as a sole anesthetic is associated with undesirable airway responses such as coughing and gagging. In this study we evaluate the effect responses of REMIFENTANIL with PROPOFOL in decreasing these complications. Materials and Method: We performed a randomized double- blinded study to compare the hemodynamic changes and condition of insertion of LMA in 90 patients with ASA Class I, 11, in 3 groups. Group R1 (n=30) received 0.25 µg/kg REMIFENTANIL and 2.5 mg/kg PROPOFOL, group R2 (n= 30) 0.5 mg/kg REMIFENTANIL and 2.5 mg/kg PROPOFOL, and Group P (n=30) receive normal saline and 2.5 mg/kg PROPOFOL. Then hemodynamic changes, apneic time, condition of insertion mask and airway patency were compared between the three groups. Results: REMIFENTANIL significantly improved the condition of insertion of mask in group R1: 80.33% (25.30), and group R2: 90.6% (29.30 (in comparison to group P: 40% (12.30). Hemodynamic changes in group R1 was less than R2. Patients in group R1 were apneic for 1.75±0.9 min in comparison to 2.35±1.3 min in group R2. Conclusion: Administration of 0.25 mg/kg REMIFENTANIL with 2.5 mg/kg PROPOFOL provides less hemodynamic changes and excellent condition for insertion of the LMA.

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APA: Copy

HOSSEINZADEH, H., NEGARGAR, S., MOVASSAGHI, R., & MAHMOUDPOUR, A.. (2005). LOW DOSE OF REMIFENTANIL IN FACILITATING THE INSERTION OF LARYNGEAL MASK AIRWAY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 27(49), 52-58. SID. https://sid.ir/paper/63425/en

Vancouver: Copy

HOSSEINZADEH H., NEGARGAR S., MOVASSAGHI R., MAHMOUDPOUR A.. LOW DOSE OF REMIFENTANIL IN FACILITATING THE INSERTION OF LARYNGEAL MASK AIRWAY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2005;27(49):52-58. Available from: https://sid.ir/paper/63425/en

IEEE: Copy

H. HOSSEINZADEH, S. NEGARGAR, R. MOVASSAGHI, and A. MAHMOUDPOUR, “LOW DOSE OF REMIFENTANIL IN FACILITATING THE INSERTION OF LARYNGEAL MASK AIRWAY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 27, no. 49, pp. 52–58, 2005, [Online]. Available: https://sid.ir/paper/63425/en

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