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Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 1, Jan-Feb 2019, Pages 168-172
 

Original Article

Intubation Sans Relaxant: Propofol VS. Triple Nerve Block

Ruchi Tandon1, Neelesh Nema2, Arun Balaji3

1Professor 2Assistant Professor 3Post graduate student, Deptt of Anaesthesiology, Gandhi Medical College, Bhopal, Madhya Pradesh 462001, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.24

Abstract

 Aims: Methods that avoid use of muscle relaxants during intubation help us when their use would be detrimental to the patient/situation. Here we aim at intubations without muscle relaxants which could be of great significance in difficult airways. Settings and Design: It was a Randomised, prospective, comparative and double blinded study. Methods and Material: After approval by institutional ethical committee the study was conducted 60 patients of ASA I and II who were scheduled for elective surgeries under general anaesthesia. Group P: Direct Laryngoscopy using inducing doses of Propofol (2-3 mg/kg). Group N: Direct laryngoscopy using Triple nerve block technique. • Group P: Direct Laryngoscopy and intubation was done with inducing doses of propofol (2-3mg/kg). • Group N: The lingual branch of the Glossopharyngeal nerve, Bilateral superior and recurrent laryngeal nerve block were given. Statistical analysis used: Haemodynamic values were analysed using the Student’s unpaired‘t’ test. Intubation grades were measured using Mann Whitney U test. Results: Intubating condition, ease of intubation and haemodynamic stability is better in triple nerve block group than propofol group. Conclusions: And Triple nerve block provides better ease and intubating conditions and haemodynamic stability compared to intubations using Propofol. 


Keywords : propofol; triple nerve block; intubating condition; haemodynamic changes during laryngoscopy and intubation.  
Corresponding Author : Neelesh Nema