Anesthesia induced by a single injection of a short acting intravenous anesthetic may not be adequate of endotracheal intubation as detected by responses of the isolated forearm technique with the incidence up to 19%. The addition of the inhaled sevoflurane may provide adequate depth of anesthesia/analgesia for the intubation. isolated forearm technique depth of anesthesia intubation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Surgical patients requiring endotracheal intubation under general anesthesia 2. Isolated forearm technique can be applied 3. ASA PS I-II 4.Inforemed consent
Exclusion criteria
Exclusion criteria: 1. cannot be communicated 2. family history or clinically susceptiple to malignant hyperthermia 3. allergic to propofol or soy bean
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Responses of isolated forearm every 5 minutes before , during and after intubation Pandit scale of isolated forearm responsiveness,depth of anesthesia (qCon) every 1 minutes after induction until complete intubation from starting induction until 0-100,Depth of analgesia (qNOX) every 1 minute after induction until completed intubation 0-100,Recall of intraoperative awareness 48-72 hours postoperatively Brice questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| CVS (Blood pressure, Heart rate every 5 minutes mmHg, beats perminute | — |
Countries
Thailand
Contacts
Faculty of Mediicne, Chiang Mai University