Tracheal intubation Without Neuromuscular Block in Children

Abstract

The object of this study was whether the intubating conditions and the haemodynamic responses to intubation and laryngoscopy without neuromuscular block were better as compared to that following suxamethonium. A prospective study was conducted on patients who were undergoing Adeno tosillectmy. this study was performed KTH, peshawar over a period of one year (1995 to 1996. 100 patients of both sexes were selected which were undergoing adenotonsillectomy. Intubation with Fentanyl and propofol has the advantage of less haemodynamic changes and attenuation of physiological respnses to endotracheal intubation. Side effects of suxamethonium are also avoided. These studies need further evaluation concerning the doses of different agents and their proper timing. it is hoped that in sfurture that we might get rid of the bad aspects of the drugs used in group B (Fentanyl - propofol) like couging, limb movements, high cost and non availability of the product in market.