Effect of pretreatment with a small dose of esketamine on sufentanil-induced cough during anesthesia induction : a randomized controlled trial

© 2024. The Author(s)..

BACKGROUND: Sufentanil-induced cough is common during the induction of anesthesia. The objective of this study was to determine whether pretreatment with a small dose of esketamine is effective in treating sufentanil-induced cough.

METHODS: 220 patients were screened, and 200 patients who had scheduled elective surgery and were between 18 and 70 years old were randomly divided into two groups. Before sufentanil was administered, esketamine group (group K) was injected with 0.15 mg/kg esketamine at 5 s, and control group (group C) was administered with the same volume. Within 1 min after sufentanil(0.4ug/kg) injection during induction, cough incidence and severity were evaluated. After sufentanil was injected, we recorded its hemodynamic changes and side effects.

RESULTS: In the esketamine group (group K) and control group (group C), there was an incidence of cough of 5 and 34%, respectively. The esketamine group (group K) had a significantly lower incidence and severity of cough compared to the control group (group C) immediately after sufentanil injection (P < 0.05). MAP and HR did not differ significantly between the two groups during three different times of general anesthesia induction (P > 0.05).

CONCLUSION: In our study, we found that sufentanil-induced cough was significantly reduced by pretreatment with 0.15 mg/kg esketamine, but with no significant changes in the hemodynamic status.

TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR2200063821, registered date: 17/09/2022), http://www.chictr.org.cn.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC anesthesiology - 24(2024), 1 vom: 26. März, Seite 116

Sprache:

Englisch

Beteiligte Personen:

Gao, Liangliang [VerfasserIn]
Zhang, Zhuoliang [VerfasserIn]
Zhu, Yi [VerfasserIn]
Lu, Xinyu [VerfasserIn]
Tian, Yue [VerfasserIn]
Wei, Lei [VerfasserIn]

Links:

Volltext

Themen:

50LFG02TXD
690G0D6V8H
AFE2YW0IIZ
Anesthesia
Cough
Esketamine
Journal Article
Ketamine
Randomized Controlled Trial
Sufentanil

Anmerkungen:

Date Completed 27.03.2024

Date Revised 10.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12871-024-02501-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370180313