PROPOFOL-FENTANYL FOR TRACHEAL INTUBATION IN CHILDREN WITHOUT NEUROMUSCULAR BLOCK

Abstract

INTRODUCTION: In paediatric anaesthesia tracheal intubation without prior administration of muscle relaxants is well-established practice. Depolarizing muscle relaxant such as suxamethonium is also used in induction but it may be associated with side effects such as postoperative myalgia, prolonged paralysis, and increase in intraocular pressure and hyperkalaemia.
 MATERIAL AND METHODS:A total of 60 children were included in the study, of both sex, aged between 2 and 12 years. Patients were randomised in to two groups: Group 1: Inj. Fentanyland Inj. Propofoland group 2 : Inj. Propofol and Inj. suxamethonium.The quality of intubation was graded by the consultant using the scoring system devised by Helbo-Hansen Raulo and Trap-Anderson.
 RESULTS: A total of 60 patients were included in the study and were randomised in to two groups of 30 each.In group 1 mean age was 8.24±2.65 and in group 2 it was 7.96±2.77. Weight in group 1 was 21.58±6.22 and in group 2 was 22.87±5.59. There were 18 male and 12 female in group 1, while in group 2 there were 19 male and 11 female. No statistically significance e=was observedin both the group.Acceptable intubating conditions were observed in 29 (97%) out of 30 patients in group 1, whereas all (100%) patients in group S had excellent intubating conditions.
 CONCLUSION: Tracheal intubation can be accomplished using a combination of Fentanyl Propofol combination and suxamethonium (muscle relaxant) can be avoided. When neuromuscular blocking drugs are contraindicated this method can be used.