Tracheal intubation without neuromuscular blocking drugs: isn't it an illusion?

Nicolas Grillot¹, Antoine Roquilly^{1

2}

Affiliations

¹ Université de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France.
² Nantes Université, CHU Nantes, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France.

Editorial

Nicolas Grillot et al. Anaesthesia. 2024 Jul.

. 2024 Jul;79(7):685-688.

doi: 10.1111/anae.16287. Epub 2024 Apr 2.

Nicolas Grillot¹, Antoine Roquilly^{1

2}

¹ Université de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France.
² Nantes Université, CHU Nantes, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France.

No abstract available

Keywords: neuromuscular blocking drugs; remifentanil; safety; tracheal intubation.

References

1. Santos L, Zheng H, Singhal S, Wong M. Remifentanil for tracheal intubation without neuromuscular blocking drugs in adult patients: a systematic review and meta‐analysis. Anaesthesia 2024. Epub 25 February. https://doi.org/10.1111/anae.16255.
1. Grillot N, Lebuffe G, Huet O, et al. Effect of remifentanil vs neuromuscular blockers during rapid sequence intubation on successful intubation without major complications among patients at risk of aspiration: a randomized clinical trial. JAMA 2023; 329: 28–38. https://doi.org/10.1001/jama.2022.23550.
1. Kallar SK. Propofol allows intubation without relaxants. Anesthesiology 1990; A22: 73. https://doi.org/10.1097/00000542‐199009001‐00022.
1. Scheller MS, Zornow MH, Saidman LJ. Tracheal intubation without the use of muscle relaxants: a technique using propofol and varying doses of alfentanil. Anesth Analg 1992; 75: 788–793. https://doi.org/10.1213/00000539‐199211000‐00024.
1. Davidson JAH, Gillespie JA. Tracheal intubation after induction of anaesthesia with propofol, alfentanil and i.v. lignocaine. Br J Anaesth 1993; 70: 163–166. https://doi.org/10.1093/bja/70.2.163.