Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2010, Vol. 32 ›› Issue (5): 569-573.doi: 10.3881/j.issn.1000-503X.2010.05.020

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Application of Propofol Target controlled Infusion Combined with Dribbled and Nebulized Lidocaine in Tracheal Intubation under Spontaneous Respiration

XU Jian-qing, YE Tie-hu, HUANG Yu-guang, LUO Ai-lun   

  1. Department of Anesthesiology,PUMC Hospital, CAMS and PUMC,Beijing 100730,China
  • Received:2010-01-14 Online:2010-11-04 Published:2010-11-04
  • Contact: XU Jian-qing E-mail:jqxu@163bj.com

Abstract: ObjectiveTo evaluate the value of propofol target-controlled infusion combined with dribbled and nebulized lidocaine in tracheal intubation under spontaneous breathing. MethodsTotally 40 elective surgery patients to accept tracheal intubation under unconsciousness and spontaneous breathing were randomly divided into 2 groups: 6-8 cm of endotracheal tube was inserted subglottically in the complete intubation group (n=20) while 3-4 cm was inserted temporarily in the partial intubation group (n=20). ResultsThe tracheal intubation was successfully completed under spontaneous breathing in all patients; meanwhile, the hemodynamic status was stable without any severe respiratory complications. Eleven patients suffered from moderate coughing response in the complete intubation group while no such response was noted in the partial intubation group (P<0.01). ConclusionsApplication of propofol target-controlled infusion combined with dribbled and nebulized lidocaine provides a good condition for tracheal intubation under unconsciousness and spontaneous breathing. The partial intubation can effectively prevent the occurence of coughing response.

Key words: spontaneous breathing, tracheal intubation, propofol, lidocaine, coughing

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