Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial

Abstract Background Opioid-induced cough (OIC) is one of the most common complications of opioids during anesthesia induction. This study was designed to assess the incidence of OIC mediated by different intravenous route. Methods A total of 102(ASA I-II) scheduled for elective surgery under general...

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Main Authors: Jiabei He, Ling Zhu, Huichen Zhu, Xinyu Gu, Peiying Li, Yuting Yang, Liqun Yang
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Anesthesiology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12871-018-0502-z
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author Jiabei He
Ling Zhu
Huichen Zhu
Xinyu Gu
Peiying Li
Yuting Yang
Liqun Yang
author_facet Jiabei He
Ling Zhu
Huichen Zhu
Xinyu Gu
Peiying Li
Yuting Yang
Liqun Yang
author_sort Jiabei He
collection DOAJ
description Abstract Background Opioid-induced cough (OIC) is one of the most common complications of opioids during anesthesia induction. This study was designed to assess the incidence of OIC mediated by different intravenous route. Methods A total of 102(ASA I-II) scheduled for elective surgery under general anesthesia were randomly allocated into two groups: central vein group (group CV, n = 51) and peripheral vein group (group PV, n = 51). The incidence, onset time and severity of OIC were evaluated within 1 min just after sufentanil injection during induction. Meanwhile, heart rate (HR) and blood pressure (BP) were also recorded to assess the hemodynamic changes. Results The incidence of OIC was 10/51 (20.4%) in group CV and 16/51 (32%) in group PV, patients received central venous administration of sufentanil experienced less OIC compared with those injected by peripheral venous route (P < 0.05), as well as a significantly lower incidence of severe OIC (P < 0.05). Nevertheless, the onset of OIC and hemodynamic data were comparable between two groups (P > 0.05). Conclusion Our study indicates that sufentanil administration by central venous route reduces the incidence and severity of OIC, but without significant changes in hemodynamic status. Trial registration Chinese Clinical Trial Registry with registration number ChiCTR-IOR-15006075. Registered 28 February 2015.
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spelling doaj.art-99b94ee84edb4238a2190990312917832022-12-22T00:20:18ZengBMCBMC Anesthesiology1471-22532018-04-011811510.1186/s12871-018-0502-zDose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trialJiabei He0Ling ZhuHuichen Zhu1Xinyu Gu2Peiying Li3Yuting Yang4Liqun Yang5Department of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityDepartment of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong UniversityAbstract Background Opioid-induced cough (OIC) is one of the most common complications of opioids during anesthesia induction. This study was designed to assess the incidence of OIC mediated by different intravenous route. Methods A total of 102(ASA I-II) scheduled for elective surgery under general anesthesia were randomly allocated into two groups: central vein group (group CV, n = 51) and peripheral vein group (group PV, n = 51). The incidence, onset time and severity of OIC were evaluated within 1 min just after sufentanil injection during induction. Meanwhile, heart rate (HR) and blood pressure (BP) were also recorded to assess the hemodynamic changes. Results The incidence of OIC was 10/51 (20.4%) in group CV and 16/51 (32%) in group PV, patients received central venous administration of sufentanil experienced less OIC compared with those injected by peripheral venous route (P < 0.05), as well as a significantly lower incidence of severe OIC (P < 0.05). Nevertheless, the onset of OIC and hemodynamic data were comparable between two groups (P > 0.05). Conclusion Our study indicates that sufentanil administration by central venous route reduces the incidence and severity of OIC, but without significant changes in hemodynamic status. Trial registration Chinese Clinical Trial Registry with registration number ChiCTR-IOR-15006075. Registered 28 February 2015.http://link.springer.com/article/10.1186/s12871-018-0502-zSufentanilCoughPeripheralCentral
spellingShingle Jiabei He
Ling Zhu
Huichen Zhu
Xinyu Gu
Peiying Li
Yuting Yang
Liqun Yang
Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
BMC Anesthesiology
Sufentanil
Cough
Peripheral
Central
title Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
title_full Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
title_fullStr Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
title_full_unstemmed Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
title_short Dose selection of central or peripheral administration of sufentanil affect opioid induced cough?: a prospective, randomized, controlled trial
title_sort dose selection of central or peripheral administration of sufentanil affect opioid induced cough a prospective randomized controlled trial
topic Sufentanil
Cough
Peripheral
Central
url http://link.springer.com/article/10.1186/s12871-018-0502-z
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