Korean J Anesthesiol Search


Korean J Anesthesiol > Volume 54(3); 2008 > Article
Korean Journal of Anesthesiology 2008;54(3):271-277.
DOI: https://doi.org/10.4097/kjae.2008.54.3.271   
The Effects of Remifentanil on Hemodynamic Changes in Endotracheal Intubation during Rapid Sequence Induction using Thiopental-succinylcholine or Propofol-succinylcholine.
Geun Joo Choi, Young Cheol Woo, Hyun Kang, Chong Wha Baek, Jin Yun Kim, Sun Gyoo Park
Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. wj12@naver.com
This study evaluated the effects of remifentanil on hemodynamic changes in endotracheal intubation during rapid sequence induction using thiopental or propofol and succinylcholine.
One hundred and twenty patients were divided into 4 groups (30 patients in each group).Anesthesia was induced with propofol 2 mg/kg or thiopental 5 mg/kg and succinylcholine 1 mg/kg followed by remifetanil 0.5microgram/kg (group PR), remifentanil 1microgram/kg (group TR) or normal saline as control (group PC, group TC).An endotracheal intubation was performed 90 s later, and vecuronium 0.08 mg/kg was given for neuromuscular block.Anesthesia was maintained using 1-3 vol% enflurane with 2 L/min N2O and 2 L/min O2.Arterial blood pressure (ABP) and heart rate (HR) were recorded before induction, just before intubation, and at 1 min intervals for 5 min after intubation.The incidence of hypertension, hypotension, tachycardia, and bradycardia were recorded.
ABP in group PR was lower than in group TR, but HR was not different.The incidence of hypotension in group PR was higher than group TR or group PC.ABP in groups using remifentanil was lower than in control groups.The incidence of hypertension and tachycardia in groups using remifentanil were lower than control groups.
During administration of propofol or thiopental and succinylcholine, remifentanil as a bolus for rapid sequence induction attenuated cardiovascular responses to endotracheal intubation effectively, but with a higher incidence of hypotension following propofol.
Key Words: hemodynamic change; propofol; rapid sequence induction; remifentanil; thiopental
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 0 Crossref
  • 979 View
  • 12 Download


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2022 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next