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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1998-10-21
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pubmed:abstractText |
We have assessed the effect of two induction agents on tracheal intubating conditions after rocuronium 0.6 mg.kg-1 in unpremedicated patients undergoing simulated rapid sequence induction. Following pre-oxygenation, anaesthesia was induced with propofol up to 2.5 mg.kg-1 (n = 35) or etomidate 0.3 mg.kg-1 (n = 36), and further increments as required. After loss of verbal contact, cricoid pressure was applied and rocuronium was injected. Laryngoscopy was performed at 45 s and intubation attempted at 60 s after rocuronium had been given. Ninety-four per cent of patients in the propofol group had clinically acceptable (good or excellent) intubating conditions compared to only 75% in the etomidate group (p = 0.025). Owing to coughing, one patient in the etomidate group could not be intubated on the first attempt. A greater pressor response also followed intubation after induction with etomidate. We conclude that etomidate and rocuronium alone cannot be recommended for intubation at 60 s under rapid sequence induction conditions.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Androstanols,
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Intravenous,
http://linkedlifedata.com/resource/pubmed/chemical/Etomidate,
http://linkedlifedata.com/resource/pubmed/chemical/Neuromuscular Nondepolarizing Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Propofol,
http://linkedlifedata.com/resource/pubmed/chemical/rocuronium
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0003-2409
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
53
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
702-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9771181-Adolescent,
pubmed-meshheading:9771181-Adult,
pubmed-meshheading:9771181-Aged,
pubmed-meshheading:9771181-Androstanols,
pubmed-meshheading:9771181-Anesthetics, Intravenous,
pubmed-meshheading:9771181-Blood Pressure,
pubmed-meshheading:9771181-Double-Blind Method,
pubmed-meshheading:9771181-Etomidate,
pubmed-meshheading:9771181-Female,
pubmed-meshheading:9771181-Heart Rate,
pubmed-meshheading:9771181-Humans,
pubmed-meshheading:9771181-Intubation, Intratracheal,
pubmed-meshheading:9771181-Male,
pubmed-meshheading:9771181-Middle Aged,
pubmed-meshheading:9771181-Neuromuscular Nondepolarizing Agents,
pubmed-meshheading:9771181-Propofol
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pubmed:year |
1998
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pubmed:articleTitle |
Evaluation of intubating conditions with rocuronium and either propofol or etomidate for rapid sequence induction.
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pubmed:affiliation |
Nottingham City Hospital NHS Trust, UK.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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