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Year : 2015  |  Volume : 2  |  Issue : 3  |  Page : 85-88

Comparison of intubation conditions with halothane suxamethonium and halothane topical lidocaine 2% in children undergoing

Department of Anesthesia and Intensive Care, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Correspondence Address:
Osama YA Khalifa
MD, Department of Anesthesia, Zagazig Medical Faculty, Assharkia, Zagazig 44519
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2356-9115.172798

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Background Suxamethonium has several side effects, particularly in children, including apnea, bradycardia, hyperkalemia, and the fatal side effect malignant hyperthermia. Looking for a safe, available and cheap alternative to suxamethonium is the aim of this study. Patients and Methods Sixty children admitted for adenoidotonsillectomy aged between 3 and 8 years were classified into two groups. Group HS was formed of 30 patients anesthetized using inhalational halothane 5% and suxamethonium 1.5 mg/kg. Group HL was formed of 30 patients who were anesthetized with halothane 5% and topical oral lidocaine solution 2% at a dose of 4 mg/kg. The intubation conditions score was applied in both groups. Results There was a nonsignificant difference between the two groups as regards the hemodynamic parameters both before and after intubation. There was also a nonsignificant difference in intubation conditions score between the two groups. Conclusion Lidocaine 2% oral solution at a dose of 4 mg/kg before intubation produces similar hemodynamics and intubation conditions to suxamethonium in adenoidotonsillectomy in children aged 3-8 years.

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