Remifentanil Versus Sufentanil for Intubation Condition Without Myorelaxant

Comparison of Intubation Conditions After Induction With Propofol Associated With a Dose of Remifentanil or Sufentanil in Surgical Tooth Extraction.

The main objective is the comparison of intubation conditions after anesthetic induction bolus of propofol-sufentanil when compared to injection of propofol-remifentanil in patients undergoing surgery for tooth extraction.

Intubation without myorelaxant with propofol and sufentanil is classic but less efficient than induction with curare on achieving perfect intubation conditions. The use of a protocol without curare is sometimes justified for short gestures or when you want to avoid allergia. Remifentanil often provides excellent intubation conditions without myorelaxant. However, remifentanil was never compared to sufentanil in terms of intubating conditions without muscle relaxant.

Inclusion Criteria:

• patients 18 to 60 years
• American Society of Anesthesiology (ASA) 1 or 2
• scheduled for surgical tooth extraction under general anesthesia with intubation
• signed consent form

Exclusion Criteria:

• criterion of difficult ventilation or intubation
• chronic alcoholism or opiate use
• beta-blockers or calcium channel blockers treatment
• allergy to paracetamol or ketoprofen
• patient under protection of justice