Comparison of Airway Responses and Recovery after Sevoflurane versus Desflurane Administration via Laryngeal Mask Airway
Journal Title: Journal of Medical and Dental Science Research (Quest Journals JMDSR) - Year 2018, Vol 5, Issue 1
Abstract
Background: Inhalation anesthetic agents have played an important role in anesthesia practice and are the ‘backbone’ of modern anesthesia. The history of inhalational agents is also the quest for the perfect agent by which depth of anesthesia is rapidly achieved, which has a pleasant smell and is better accepted by the patient, devoid of major side effects and allows early and smooth recovery. Aim: To compare airway responses and recovery after sevoflurane versus desflurane administration via laryngeal mask airway (LMA). Methods: It was a randomized comparative study undertaking 60 patients of ASA I-II including both sexes between age of 18-50 years. After institutional ethical committee approval, the study groups were divided into two – Group S in which anesthesia was maintained with sevoflurane and Group D in which anesthesia was maintained with desflurane, with 30 patients in each group breathing spontaneously on a LMA. Hemodynamic parameters and airway responses in the form of cough response was recorded. Eye opening time after discontinuation of agent and time of discharge to wards from PACU was also noted. Results: Both groups were comparable with respect to demographic data and hemodynamic parameters. There was only one incidence of coughing in Group S, which was statistically insignificant. The eye opening time in Group D was significantly lower and so was the time of discharge to wards. Conclusion: Respiratory complications through a LMA are minor and the incidence does not differ for sevoflurane versus desflurane. Initial recovery as well as the timefor discharge to wards is more rapid with desflurane. Both agents can be used for short duration ambulatory surgeries
Authors and Affiliations
Dr. Divya Poi, Dr. P. Bhosle, Dr. S. Aphale
Keywords
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