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Alfentanil/etomidate anaesthesia for endolaryngeal microsurgery
Author(s) -
VERSICHELEN L.,
ROLLY G.,
BEERENS J.
Publication year - 1983
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1983.tb15180.x
Subject(s) - medicine , etomidate , anesthesia , alfentanil , fentanyl , premedication , droperidol , pethidine , blood pressure , heart rate , bolus (digestion) , surgery , propofol , analgesic
Summary Anaesthesia for laryngeal microsurgery by laser was conducted using etomidate and alfentanil. Patients' lungs were ventilated with air to avoid the danger of fire during the use of the laser. Thirty one patients received fentanyl/droperidol or pethidine for premedication. Anaesthesia was induced with etomidate 300 μg/kg and maintained with etomidate 30 μg/kg/minute. Alfentanil was given as an initial bolus of 40 μg/kg with subsequent increments of 15 μg/kg. Systolic arterial blood pressure and heart rate decreased significantly at some time intervals. Blood biochemistry and blood gases were within normal ranges, except for elevated Pao 2 values during ventilation on pure oxygen. This technique adequately provided the requirements for prompt, smooth awakening, with a low incidence of nausea and vomiting.