Volume 24, Issue 106, November - December, 2020

Role of Remifentanil in prevention increase of intraocular pressure after endotracheal intubation under Succinylcholine chloride

Haider Abbass Hassen^1♦, Iyad Abbas Salman², Mohammed Kassim A. Hassan¹

¹Anaesthetist, Department of Intensive Care, Al-Imamain medical city, Baghdad, Iraq
²Consultant Anaesthetist, Medical College, University of Baghdad, Iraq

^♦Corresponding author
Anaesthetist, Department of Intensive Care, Al-Imamain medical city, Baghdad, Iraq; Email: hayder.adnan2010@gmail.com

ABSTRACT

Objective: To evaluate the role of remifentanil in decreasing intraocular pressure (IOP) after endotracheal (ET) intubation under the effect of Succinylcholine (rapid sequence induction). Methods: a prospective, randomized double-blinded clinical trial, done on 36 patients who had elective surgery in the ophthalmology department, we had studied the changes in IOP after succinylcholine injection and tracheal intubation 3 different times, by dividing patients into two groups, group R who takes Remifentanil 1 μg/kg and propofol 2 mg/kg induction, and group C who received 5 ml normal saline with propofol 2mg/kg induction. Results: Patients respond well, IOP had been decreased significantly in the remifentanil group, p-value between the two groups were less than 0.05. Conclusions: Remifentanil has a significant effect on decreasing IOP in rapid sequence induction and ET intubation.

Keywords: Remifentanil, intraocular pressure, IOP, glaucoma, endotracheal intubation, Succinylcholine, rapid sequence induction, vitreous humor

Medical Science, 2020, 24(106), 4243-4248

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