Randomised double-blind comparison of fentanyl, mivacurium or placebo to facilitate laryngeal mask airway insertion
✍ Scribed by E. W. S. Cheam; P. T. Chui
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 78 KB
- Volume
- 55
- Category
- Article
- ISSN
- 0003-2409
No coin nor oath required. For personal study only.
✦ Synopsis
In a double‐blind randomised study, we compared conditions during insertion of the laryngeal mask airway in 150 patients who received either fentanyl 1 __μ__g.kg^−1^, mivacurium 0.04 mg.kg^−1^ or normal saline, before induction of anaesthesia with propofol 2 mg.kg^−1^. Insertion conditions, including mouth opening, swallowing, gagging or coughing, head or limb movement and ease of insertion, were each graded using a three‐point scale. The median (interquartile range) summed insertion scores were more favourable with the use of fentanyl [8.0 (7.0–9.0)] and mivacurium [7.5 (6.8–8.3)] than with normal saline [9.0 (7.8–10.3); p < 0.01]. Fentanyl and mivacurium decreased swallowing and head or limb movement, and mivacurium improved mouth opening. Insertion conditions were similar between fentanyl and mivacurium, while both prolonged apnoea. Fentanyl and mivacurium are equally effective in facilitating insertion of the laryngeal mask airway following anaesthetic induction with propofol.