| Summary: | Background. Intravenous administration of fentanyl as preempetive analgesia is a
common practice to reduce the hemodynamic response to tracheal intubation.
However this may be accompanied by cough. This unexpected coughing be may
unpleasant. One of the preventive have done is by a huffing manoeuvre performed.
The study was designed to evaluate the effect of fentanyl 2 μg/kgbw with huffing
manoeuvre performed compare with fentanyl 2 μg/kgbw without huffing
manoeuvre performed.
Methods. This study will done with clinical design controlled study and double
blind randomized into 94 patients ASA physical status I-II, undergoing elective
surgical prosedures under general anaesthesia. Patients will be randomized into two
groups. Each group take fentanyl 2 μg/kgbw. Group I served as huffing moeuvre
performance and group II without huffing moeuvre performance. Any episode of
cough within 120 second after fentanyl administration was classified as fentanyl
induced cough. The severity was graded based on the number of coughs as mild (1-
2), moderate (3-5), severe (>5). These will be record after fentanyl injection. The
data will be analysis with t-test and chi square at the significance level of p< 0,05.
Results. Intravenous administration of fentanyl 2 μg/kgbw with huffing
manoeuvre performed could prevent cough compare with fentanyl 2 μg/kgbw
without huffing manoeuvre performed. There was significantly difference (p< 0,05)
the incidence of cough in both groups. The group with huffing manoeuvre
performed could prevent cough 4,3 % in first minute and 8,5% in second minute,
while in group without huffing manoeuvre performed, the incidence of cough
19,2% in first minute and 12,8% in second minute.
Conclusions. The incidence of cough after intravenous administration of fentanyl 2
μg/kgbw with huffing manoeuvre performed could prevent cough compare without
huffing manoeuvre performed.
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