A Study to Assess The Efficacy of Lignocaine (Xylocard) for LMA Insertion and Stress Response in Adults Following Induction with Propofol
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Laryngeal mask is a new concept in airway management. It is an ingenious supraglottic airway device, which is designed to maintain a seal around laryngeal inlet for spontaneous ventilation and allow controlled ventilation at the modest (<15cm of H2O) positive pressure.Objective of the study was to assess the efficacy of Lignocaine (Xylocard) for LMA insertion and stress response in adults following induction with Propofol. Material and Method: The study was carried out in 80 patients of age group of 20-60 years undergoing surgical, gynaecological and orthopedic operations. All patients were belonging to ASA grade II and I. Results: After LMA insertion there was significant increase in heart rate in-Group B (p value < 0.001) and significant increase in the SABP in-Group B (P value highly significant) but no significant change in DABP. Conditions for LMA insertion were significantly superior in-Group A and there were no adverse airway reflexes during insertion of LMA. In-Group B patients 25% patients had less satisfactory conditions with coughing during LMA insertion. LMA insertion was possible in all patients in first attempt. Conclusion: Insertion of LMA (laryngeal mask airway) leads to significant stress response and Inj. xylocard (Lignocaine 2%) 1.5mg/Kg body weight 90 seconds prior to induction decreases stress response of LMA insertion. This technique will definitely add to the safety of anaesthetic management of patients who are at increased risk of harmful effects of stress response.
Authors and Affiliations
Basavaraj V. Modi, Vaijayanti S. Gandhi
Keywords
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