A Comparative Study Between Intravenous Propofol And An Equipotent Dose Of Thiopentone For The Insertion Of Laryngeal Mask Airway
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Since its advent in 1981 by Dr. Archie Brain at the London hospital, the laryngeal mask airway (LMA) has turned out to be a boon for the anaesthesiologists .It not only forms an integral part of the difficult airway cart, but is also used outside the OT setup by the paramedics for securing airway. With growing emphasis on day care surgery, the LMA is into wider practice in recent times. The basis lies on the fact that the LMA insertion does not obviates the use of a depolarising muscle relaxant; use of induction agents, alone or in combination, is sufficient enough to obtund the upper airway reflexes of the patient for an easy insertion. The present study is designed using two of such induction agents, propofol and thiopentone, and a comparision is drawn as to which of the two induction agents facilitate an easy LMA insertion ensuring hemodynamic stability. Conditions for LMA insertion was graded on a three-point scale using six variables such as ease of insertion, jaw opening, coughing, gagging, etc. Our study concluded that Propofol at the dose of 2.5 mg/kg was superior to Thiopentone at the dose of 5 mg/kg as an induction agent for insertion of the laryngeal mask airway.
Authors and Affiliations
Dr Gunjan1 . . , Dr Subrata Dey2
Keywords
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- EP ID EP365247
- DOI 10.9790/0853-1702146576
- Views 89
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