Routine Mask Induction and Intubation without Paralysis may be Safer
Journal Title: Journal of Anesthesia and Surgery - Year 2015, Vol 2, Issue 2
Abstract
Meticulous precautions cannot eliminate disasters with presently prevailing intravenous induction techniques. Elective mask induction and intubation with Sevoflurane optimizes safety by incorporating pre-oxygenation and de-nitrogenation, eliminating paralysis that unpredictably obstructs the airway, avoiding lethal bolus hypnotic agent toxicity, and enabling safe retreat from unanticipated anatomical problems by ventilating with pure oxygen. Today the safety of mask induction is largely forgotten, and many practitioners assume that intravenous hypnosis and paralysis are essential to assure patient comfort and prevent dental and vocal cord damage during elective intubation.
Authors and Affiliations
Lewis Coleman
Keywords
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- EP ID EP418794
- DOI 10.15436/2377-1364.15.e003
- Views 127
- Downloads 0
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