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Suppression of bucking reflex during extubation in patients under general endotracheal anesthesia preoperatively medicated with butamirate citrate / Criza Clare Obeña-Encarnacion and Ferdinand R. Duque.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2017.Description: 17 pages: illustrations, tables; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): LOC classification:
  • ANES 2017 0004
Summary: Abstract: In the years of anesthesia practice, endotracheal tube (ETT) has been in the standard of conducting general anesthesia for establishing a secured airway and prevention of aspiration. An indwelling ETT inside the trachea of an awake patient could cause stimulation of the cough reflex that leads to violent resistance against the tube which is known as bucking. Bucking is a common clinical problem during emergence from general anesthesia, although it is only transient, it can still precipitate undesirable effects that could lead to patient morbidity when bucking persist.this study aims to investigate if the antitussive property of butamirate citrate can suppress bucking during extubation. We recruited 137 participants ages 18-64 years for elective surgical procedure under general endotracheal anesthesia. 75 participants (test group) were given butamirate citrate as premedicant 8 hours prior and 2 hours prior the procedure with minimal sips of water, while 62 participants (control group) were not premedicated with the study drug. At the end of the procedure, presence or absence of bucking ang coughing were evaluated during ETT cuff deflation, extubation, and immediate post-extubation. Results revealed that bucking during these three parameters were suppressed among the test group versus the control group. Based on our data and results, we concluded that butamirate citrate was effective in the suppression bucking and coughing during extubation and emergence from general anesthesia among patients who are premedicated prior to elective surgery.
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Item type Current library Call number Status Date due Barcode
Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research ANES 2017 0004 (Browse shelf(Opens below)) Available R000580
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ANES 2017 0001 A Case report on a difficult airway management in a patient with a fixed, laterally-flexed neck under general anesthesia / ANES 2017 0002 Failure of lung isolation by double-lumen endotracheal tube rescued by the concomitant use of single lumen tube internal diameter endotracheal tube 8.0mm and insertion of EZ-blocker guided by a bronchoscope for successful one lung isolation / ANES 2017 0003 Perioperative bradycardia and asystole in a 50 year old athletic female who underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy under continuous lumbar epidural anesthesia / ANES 2017 0004 Suppression of bucking reflex during extubation in patients under general endotracheal anesthesia preoperatively medicated with butamirate citrate / ANES 2017 0005 Determination of the agreement of Dion's method with the actual method of measuring of the inhaled sevoflurance consumed during surgery, a prospective, cross-sectional study of volatile anesthetic agent consumption in a tertiary center / ANES 2018 0001 Crash during takeoff - a case report of rocuronium anaphylaxis during induction of general anesthesia / ANES 2018 0002 Magnesium the neglected - a post hysteroscopic complication /

Includes appendices and bibliographical references.

Abstract: In the years of anesthesia practice, endotracheal tube (ETT) has been in the standard of conducting general anesthesia for establishing a secured airway and prevention of aspiration. An indwelling ETT inside the trachea of an awake patient could cause stimulation of the cough reflex that leads to violent resistance against the tube which is known as bucking. Bucking is a common clinical problem during emergence from general anesthesia, although it is only transient, it can still precipitate undesirable effects that could lead to patient morbidity when bucking persist.this study aims to investigate if the antitussive property of butamirate citrate can suppress bucking during extubation. We recruited 137 participants ages 18-64 years for elective surgical procedure under general endotracheal anesthesia. 75 participants (test group) were given butamirate citrate as premedicant 8 hours prior and 2 hours prior the procedure with minimal sips of water, while 62 participants (control group) were not premedicated with the study drug. At the end of the procedure, presence or absence of bucking ang coughing were evaluated during ETT cuff deflation, extubation, and immediate post-extubation. Results revealed that bucking during these three parameters were suppressed among the test group versus the control group. Based on our data and results, we concluded that butamirate citrate was effective in the suppression bucking and coughing during extubation and emergence from general anesthesia among patients who are premedicated prior to elective surgery.

Research - Department of Anesthesiology

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