COMPARISON OF PROPOFOL AND SEVOFLURANE FOR INSERTION OF PLMA
Journal Title: IJAR-Indian Journal of Applied Research - Year 2015, Vol 5, Issue 2
Abstract
Background: IV Propofol is widely used for providing anaesthesia for Proseal laryngeal mask airway (PLMA) insertion. Sevoflurane is a new volatile anaesthetic agent with rapid induction and recovery. A r-an domized study was carried to compare conditions for PLMA insertion using Propofol and Sevoflurane in 60 ASA I & II patients undergoing laparoscopic and non laparoscopic surgeries. Patients & Methods: Patients were divided into two groups, Group P patients received IV Propofol 3 mg kg-1 and group S patients, Sevoflurane 8% & 100% O2 with vital capacity induction technique. After loss of eyelash reflex, inj. Fentanyl 2μg kg-1 IV was injected and PLMA insertion was done. Induction time, effective airway time, conditions for PLMA insertion attempts for PLMA & Ryle's tube insertion, changes in haemodynamic parameters, oxygen saturation and EtCO2 and post operative complications were studied. Results: Induction was more rapid in Propofol group. Excellent to satisfactory insertion conditions were obtained in 100% of patients in group P & 96.66% of patients in group S. PLMA was inserted at the first in 96.66% of patients in group P and 93.33% of patients in group S. There was a significant decrease in heart rate in group S at 2 min after PLMA insertion in comparison to group P. Decrease in both systolic and diastolic blood pressure, changes in oxygen saturation and EtCO2 were comparable in both the groups. In our study 20 patients were those posted for- laparo scopic surgery. There were no complications like regurgitation, aspiration or gastric insufflations, failed oxygenation or failed ventilation. Conclusion: We conclude from our study that insertion of PLMA is easy and comparable with both Propofol and S-evo flurane.
Authors and Affiliations
Dr. D. V. Rama Siva Naik, Dr. Vishala
Keywords
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