Tracheal intubation without the use of neuromuscular blocking drugs. Reply to Br J Anaesth 2018; 121: e9–10

Abstract

3. Bouvet L, Stoian A, Rimmel e T, Allaouchiche B, Chassard D, Boselli E. Optimal remifentanil dosage for providing excellent intubating conditions when coadministered with a single standard dose of propofol. Anaesthesia 2009; 64: 719e26 4. Bouvet L, Stoian A, Jacquot-Laperri ere S, Allaouchiche B, Chassard D, Boselli E. Laryngeal injuries and intubating conditions with or without muscular relaxation: an equivalence study. Can J Anaesth 2008; 55: 674e84 5. Bouvet L, Chassard D, Boselli E. Tracheal intubation without muscle relaxants: large doses of opioids, small endotracheal tubes. Eur J Anaesthesiol 2006; 23: 712e3 6. Stevens JB, Wheatley L. Tracheal intubation in ambulatory surgery patients: using remifentanil and propofol without muscle relaxants.

Intubation without NMBA: first optimise opioid dose. Comment on Br J Anaesth 2018; 120: 1150–3

“…I do accept, however, that such techniques need to be refined further for use in patients where administration of NMBAs is contraindicated. 5…”