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Tracheal intubation without muscle relaxant--a technique using sevoflurane vital capacity induction and alfentanil

SUMMARY

This randomized controlled study examined intubating conditions and haemodynamic changes following sevoflurane nitrous oxide induction in four groups: three different doses of alfentanil compared with low-dose alfentanil and suxamethonium. All patients received atropine 0.3 mg IV before induction of anaesthesia with vital capacity breaths of sevoflurane 8% (more than 7% in the inspiratory gas) in 60% nitrous oxide and oxygen. Patients were allocated randomly to four groups of intravenous supplements: group SA20, alfentanil 20 pg.kg-1; group SA25, alfentanil 25 (mu)g.kg^sup -1^; group SA30, alfentanil 30 (mu)g.kg^sup -1^; group SSA, alfentanil 10 (mu)g.kg^sup -1^ and suxamethonium 1 ...

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