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2014, Number 4

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Rev Mex Anest 2014; 37 (4)

Huffing maneuver to reduce cough due to the administration of fentanyl during anesthetic induction compared to intravenous application of lidocaine in patients undergoing general balanced anesthesia

Acosta-Lua A, Dosta-Herrera JJ, Morales-Soto BL, Ochoa-Gaitán G

Language: Spanish
References: 19
Page: 240-246
PDF size: 224.51 Kb.


ABSTRACT

Objective: Determine the effectiveness of maneuvering huffing to reduce cough caused by the administration of fentanyl during induction of anesthesia compared to the application of intravenous lidocaine in patients undergoing general anesthesia. Material and methods: We performed a prospective, experimental, longitudinal, blinded, randomized trial including 152 patients of both genders, 18 to 65 years old, underwent elective general surgery, plastic reconstructive, maxillofacial, urology, coloproctolgy which warrants general anesthesia. The effectiveness of the maneuver huffing and intravenous lidocaine were evaluated at the minute have been made, taking the corresponding hemodynamic parameters. Results: Reported an incidence of cough caused by the administration of fentanyl 9.2%, short of presenting hemodynamic changes in patients at the time of anesthesia induction, corresponding to 5.9% with the maneuver huffing and 3.3% the application of lidocaine IV, no statistical significance (p = 0.26). Conclusions: It has an incidence of cough due to fentanyl similar to that reported in the literature. We show that the maneuver huffing is as effective as intravenous administration of lidocaine at induction of anesthesia to prevent coughing and bronchospasm.


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