[Rocuronium vs atracurium vs suxamethonium for double-lumen endobronchial tube intubation].
BACKGROUND
Intubation with a double lumen tube requires excellent and stable relaxation, necessary for accurate positioning of the device using a fibre optic scope.


METHODS
We have compared conditions for endobronchial intubation after administration of 1 mg kg(-1) rocuronium (group E), 0.1 mg kg(-1) cis-atracurium (group N) and 1.5 mg kg(-1) suxamethonium (group P) in 70 randomly allocated adult patients, scheduled for elective lung surgery. Conditions for intubation were assessed using Mallampati, Cromack-Lehan and Krieg scores.


RESULTS
The duration and conditions for intubation, and the onset of relaxation were comparable in all groups. Patients paralysed with suxamethonium required more frequent repositioning of double lumen tubes, compared to those paralysed with rocuronium and cis-atracurium.


CONCLUSIONS
Although all drugs given in equipotent doses proved to be suitable for the planned procedure, we conclude that suxamethonium could easily be abandoned in routine anaesthesia for elective lung surgery.
Misiołek
Hanna
H
Zakład Anestezjologii Klinicznej Slaskiego UM w Katowicach. katanestz@sum.edu.pl
Tombarkiewicz
Marek
M
Zajaczkowska-Druzba
Katarzyna
K
Rutkowska
Katarzyna
K
D000732:Androstanols / Q000008:administration & dosage*; D001279:Atracurium / Q000008:administration & dosage*; D004357:Drug Synergism; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D008171:Lung Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D011292:Premedication; D011446:Prospective Studies; D000077123:Rocuronium; D013390:Succinylcholine
D000732:Androstanols; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D013390:Succinylcholine; D000077123:Rocuronium