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Deep halothane anaesthesia compared with halothane-suxamethonium anaesthesia for tracheal intubation in young children

Published online by Cambridge University Press:  16 August 2006

D. Hansen ,
E. Heitz ,
S. Toussaint ,
W. Schaffartzik  and
H. W. Striebel
D. Hansen
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
E. Heitz
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
S. Toussaint
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
W. Schaffartzik
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
H. W. Striebel
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Centre, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany
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Abstract

A double-blind and randomized study design was used to investigate 100 healthy children, aged 1–5 years. Intubating conditions and cardiovascular changes duraning deep halothane anaesthesia, defined as an endtidal concentration of 2%, were compared with those changes during 1% halothane and suxamethonium relaxation. Intubating conditions were graded according to the ease of laryngoscopy, vocal cord position, coughing and jaw relaxation. In each group 96% of the children demonstrated acceptable intubating conditions. Jaw relaxation was worse in the 1% halothane/-suxamethonium group (P < 0.01). When anaesthesia with 2% or 1% halothane was compared there was a more pronounced decrease in systolic blood pressure (18 vs. 8%, (P < 0.001). Junctional rhythm occured more frequently during deep halothane anaesthesia (46 vs.18%, (P < 0.01). Intravenously (i.v.) administered atropine attenuated blood pressure depression significantly and reinstituted sinus rhythm in most cases.

Keywords

tracheal intubationconditionspatientschildrenpharmacologyhalothanesuxamethonium
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 14 , Issue 1 , January 1997 , pp. 29 - 34
Copyright
1997 European Society of Anaesthesiology

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