Comparative effects of thiopentone and propofol on respiratory resistance after tracheal intubation

Br J Anaesth. 1996 Dec;77(6):735-8. doi: 10.1093/bja/77.6.735.

Abstract

To compare the effects of propofol and thiopentone on tracheal intubation-induced bronchoconstriction, 37 patients were allocated randomly to anaesthesia with either thiopentone 4 mg kg-1 followed by a 15-mg kg-1 h-1 continuous infusion or propofol 3 mg kg-1 followed by a 9-mg kg-1 h-1 continuous infusion. Intubation was facilitated by vecuronium 0.1-0.2 mg kg-1. Respiratory system resistance (Rrs) was measured by a CP-100 pulmonary function monitor, 5 min after intubation. The 5-min post-intubation Rrs values were significantly lower in the propofol group (8.5 (SD 1.5) cm H2O litre-1 S-1) than in the thiopentone group (10.9 (3.2) cm H2O litre-1 S-1). Thirty minutes after commencing isoflurane-nitrous oxide anaesthesia, Rrs declined by 17.5 (SEM 3.6)% from baseline in the thiopentone group, but by only 1.6 (2.6)% in the propofol group. We conclude that the dose of propofol administered provided more protection against tracheal intubation-induced bronchoconstriction than an induction dose of thiopentone.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Airway Resistance / drug effects
  • Anesthetics, Inhalation / pharmacology
  • Anesthetics, Intravenous / therapeutic use*
  • Bronchial Spasm / etiology
  • Bronchial Spasm / metabolism
  • Bronchial Spasm / prevention & control*
  • Female
  • Humans
  • Intubation, Intratracheal / adverse effects*
  • Male
  • Middle Aged
  • Mucus / metabolism
  • Propofol / therapeutic use*
  • Thiopental / therapeutic use*
  • Trachea / metabolism

Substances

  • Anesthetics, Inhalation
  • Anesthetics, Intravenous
  • Thiopental
  • Propofol