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Background: This study compared intubating conditions and the onset time associated with administration of cisatracurium,a nondepolarizing neuromuscular blocker with a relatively slow onset, according to prior injection of one of twointravenous anesthetic agents: propofol or etomidate. Methods: Forty-six female patients, undergoing general anesthesia and endotracheal intubation for elective surgery, wererandomized to two groups; group P were administered propofol (2 mg/kg) prior to cisatracurium (0.2 mg/kg); group Ewere administered etomidate (0.3 mg/kg) prior to cisatracurium (0.2 mg/kg). We measured intubating conditions andthe onset time according to the types of intravenous anesthetic administered. Measurements of heart rate (HR), systolicblood pressure (SBP) and diastolic blood pressure (DBP) were taken immediately prior to induction; immediately and 1min after IV anesthetic administration; and immediately and 1, 2, 3, 4, 5, 7, and 15 min after endotracheal intubation. Results: Intubating conditions were superior in group E compared with group P (P = 0.009). The average onset time ofcisatracurium was more rapid in group E (155.74 ± 32.92 s vs. 185.26 ± 38.57 s in group P; P = 0.008). There were nogroup differences in SBP, DBP, and HR following intravenous anesthetic drug injection and endotracheal intubation. However, SBP and DBP were substantially higher in group E after endotracheal intubation. Conclusions: Etomidate improves intubating conditions and provide a more rapid onset time of cisatracurium duringanesthetic induction compared to propofol.

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