TY  - BOOK
AU  - Obeña-Encarnacion, Criza Clare, MD.
AU  - Duque, Ferdinand R., MD
TI  - Suppression of bucking reflex during extubation in patients under general endotracheal anesthesia preoperatively medicated with butamirate citrate / 
AV  - ANES 2017 0004 
PY  - 2017///
CY  - Fairview, Quezon City
PB  - Department of Anesthesiology, FEU-NRMF
KW  - premedication
KW  - bucking
KW  - suppression
KW  - butamirate citrate
KW  - antitussive
KW  - extubation
KW  - postoperative
N1  - Includes appendices and bibliographical references; RESDA
N2  - 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
ER  -