Volume 15, Number 6 (November 2012)                   amuj 2012, 15(6): 82-88 | Back to browse issues page


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Modir H, Khalili M, Yazdi B, Moshiri E. Comparison of the effects of sufentanyl and remifentanylon facilitating the use of supraglottic airway devices. amuj. 2012; 15 (6) :82-88
URL: http://amuj.arakmu.ac.ir/article-1-1351-en.html

Assistant Professor Arak University of Medical Sciences , mehranwin@hotmail.com
Abstract:   (6967 Views)
Background: The use of propofol alone for insertion of supraglottic devices can lead to undesirable events such as cough, gagging, and laryngeal spasm. Narcotic drugs are used to improve the insertion of these devices. In this study, the effect of two narcotics, remifentanyl and sufentanyl, on ease of insertion of two types of supraglottic airway devices were evaluated. Materials and Methods: In this clinical trial, 200 patients undergoing general anesthesia were divided into four groups through blocked randomization. Induction of anesthesia was performed using propofol 2.5 mg/kg. Then the first group received remifentanyl and laryngeal mask, the second group remifentanyl and SLIPA, the third group sufentanyl and laryngeal mask, and the fourth group sufentanyl and SLIPA. The amount of jaw opening, ease of insertion of supraglottic devices, cough, laryngospasm, gag reflex, heart rate, and arterial blood pressure were recorded one, three, and five minutes after insertion of supraglottic devices. Results: No significant differences were observed in the amount of jaw opening, ease of insertion of supraglottic devices, cough, laryngospasm, gag reflex, and hemodynamic parameters between the four groups. Conclusion: The results of our study indicated that for controlling airways using supraglottic devices, use of laryngeal mask or SLIPA in the presence of remifentanyl or sufentanyl have no priority over each other and do not lead to hemodynamicimpairement
Full-Text [PDF 261 kb]   (1009 Downloads)    
Subject: Anesthesia
Received: 2011/10/8 | Accepted: 2012/01/17

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