Misiołek Hanna, Tombarkiewicz Marek, Zajaczkowska-Druzba Katarzyna, Rutkowska Katarzyna
Zakład Anestezjologii Klinicznej Slaskiego UM w Katowicach.
Anestezjol Intens Ter. 2009 Apr-Jun;41(2):68-72.
Intubation with a double lumen tube requires excellent and stable relaxation, necessary for accurate positioning of the device using a fibre optic scope.
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.
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.
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.
使用双腔管插管需要良好且稳定的肌肉松弛，这对于使用纤维支气管镜准确放置该装置是必要的。
我们将70例随机分配的成年择期肺手术患者分为三组，分别给予1mg/kg罗库溴铵（E组）、0.1mg/kg顺式阿曲库铵（N组）和1.5mg/kg琥珀胆碱（P组），比较三组患者支气管内插管的情况。使用马兰帕蒂（Mallampati）、克罗马克 - 莱汉（Cromack - Lehan）和克里格（Krieg）评分评估插管条件。
所有组的插管持续时间、条件以及肌肉松弛起效时间相当。与接受罗库溴铵和顺式阿曲库铵麻痹的患者相比，接受琥珀胆碱麻痹的患者需要更频繁地重新放置双腔管。
尽管给予等效剂量的所有药物都被证明适用于计划的手术，但我们得出结论，在择期肺手术的常规麻醉中可以轻易放弃使用琥珀胆碱。
