Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study
Ahmed, S., Attia, Z., Salah, A., Mohammed, A. (2023). Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study. EKB Journal Management System, 29(1), 9-16. doi: 10.21608/zumj.2021.50227.2015
Samar Abdel-Aziz Ahmed; Zainab Mostafa Attia; Amal Abdelazeem Salah; Ahmed Mosallam Mohammed. "Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study". EKB Journal Management System, 29, 1, 2023, 9-16. doi: 10.21608/zumj.2021.50227.2015
Ahmed, S., Attia, Z., Salah, A., Mohammed, A. (2023). 'Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study', EKB Journal Management System, 29(1), pp. 9-16. doi: 10.21608/zumj.2021.50227.2015
Ahmed, S., Attia, Z., Salah, A., Mohammed, A. Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study. EKB Journal Management System, 2023; 29(1): 9-16. doi: 10.21608/zumj.2021.50227.2015

Tracheal intubation without using neuromuscular blocking drugs in elective surgery. A Comparative Study

Zagazig University Medical Journal
Article 2, Volume 29, Issue 1, January 2023, Page 9-16  XML PDF (560.62 K)
Document Type: Original Article
DOI: 10.21608/zumj.2021.50227.2015
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Authors
Samar Abdel-Aziz Ahmed email 1; Zainab Mostafa Attia2; Amal Abdelazeem Salah3; Ahmed Mosallam Mohammed4
1Anesthesia and surgical intensive care, Faculty of medicine, Zagazig University, Al sharqia, Egypt
2Anesthesia and surgical intensive care, Faculty of Medicine, Zagazig University, Al Sharqia, Egypt
3Anesthesia and surgical intensive care , Faculty of Medicine , Zagazig University , Al Sharqia , Egypt
4Anethesia and surgical intensive care, Faculty of medicine, Zagazig University, Al Sharqia, Egypt
Abstract
Background: Usually, neuromuscular blocking drugs are used for facilitating tracheal intubation but sometimes limitations exist as in procedures where neuromuscular monitoring is required or that of short duration. So, using an alternative method is important for providing good intubating conditions.
Patients and methods: Eighty-eight patients in Zagazig University hospitals were randomly divided into two equal groups, group-M (Magnesium group) and group-P (high dose of propofol group). Group (M) received Magnesium sulfate (40 mg/kg), Fentanyl (2 μg/kg) and Propofol (2 mg/kg). Group (P) received Fentanyl (2 μg/kg) and Propofol (3 mg/kg). Assessment of quality of intubation conditions and hemodynamic response to tracheal intubation were done.
Results: Group (M) had better intubation score and also less hemodynamic response to endotracheal intubation than group (P).
Conclusion: Intravenous infusion of magnesium sulfate (40 mg/kg) before induction leading to better intubation score and also less haemodynamic response to endotracheal intubation than high dose of propofol.
Keywords
Magnesium sulfate; propofol; neuromuscular blocking drugs; endotracheal intubation; stress response
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