Airway assessment and haemodynamic response to laryngoscopy after lignocaine and propofol induction

Fauzia A. Khan, Mujeebullah A. Rauf

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Airway assessment without use of muscle relaxant is required in some cases of suspected difficult intubation. A randomized double blind study was carried out on sixty patients of ASA grade I and II, aged between 18-60 years. Anaesthesia was induced with propofol 2.5mgkg-1 after pre-treatment with either lignocaine 1mgkg-1 or normal saline. A scoring system was devised to evaluate the quality of laryngoscopy and was based on degree of jaw relaxation, presence of gag or cough reflex, vocal cord movements and associated limb movements. Pressor response to laryngoscopy was also assessed. Eleven patients (36%) in saline group and twenty seven patients (90%) in the lignocaine group exhibited excellent to good conditions for laryngoscopy. A significant increase in the heart rate was observed only in the saline group. The technique can be of benefit in airway assessment in patients where it is advisable to avoid tachycardia.

Original languageEnglish
Pages (from-to)263-267
Number of pages5
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume19
Issue number3
Publication statusPublished - Jul 2003
Externally publishedYes

Keywords

  • Drugs : Propofol, Lignocaine
  • Laryngoscopy : Airway assessment, Haemodynamic response

Fingerprint

Dive into the research topics of 'Airway assessment and haemodynamic response to laryngoscopy after lignocaine and propofol induction'. Together they form a unique fingerprint.

Cite this