Effects of Propofol and Sevoflurane on Hemodynamics during Laryngeal Mask Airway Insertion –A Prospective Comparative Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
The Laryngeal mask airway insertion has become a very good alternative for face mask ventilation in paediatric patients for short surgical procedures. It can be used for both spontaneous and controlled ventilation and in all age groups from neonates to adults. Main advantages of LMA insertion are its minimal hemodynamic changes during insertion, Laryngoscopy can be avoided and muscle relaxants are not required for insertion. The LMA insertion after induction of Anaesthesia requires sufficient depth for suppression of airway reflexes. In this study we compare the hemodynamic changes during insertion of LMA after using propofol and sevoflurane. We conducted the study at SAT Hospital Medical college Trivandrum after getting ethical committee clearance. We selected 50 paediatric patients aged 3 to 12 years of ASA grade 1 and 2 undergoing lower abdominal and lower limb surgeries. Exclusion criteria were those at increased risk for aspiration, with history of convulsions or with difficult airway. We randomly selected 2 groups of patients with sample size of 25 each as propofol group and sevoflurane group. Haemodynamic parameters such as systolic BP, diastolic BP , mean arterial pressure, heart rate and arterial saturation were monitored in each group. The propofol and sevoflurane are excellent induction agents for LMA insertion in paediatric patients with minimum side effects. The heart rate and BP decreased more in propofol group but patients were hemodynamically stable in both groups. However sevoflurane has a long induction time than propofol, sevoflurane is associated with good haemodynamic stability and may prove useful in cases where propofol is to be avoided
Authors and Affiliations
Dr Ushakumari. P. R
Keywords
Related Articles
- EP ID EP521652
- DOI -
- Views 65
- Downloads 0
Allogenic Blood Transfusion and Post-operative Outcomes in Elective CABG cases: A Prospective Study
: To assess the relationship between RBC/whole blood transfusion and hospital length of stay in a large, single reference centre of cardiac surgery and then to compare the characteristics of patients who received RBC/who...
Sporadic Neurofibroma in an Uncommon Site
Neurofibromas are benign tumours of the peripheral nerves. They can be solitary or multiple. Multiple neurofibromas are seen as a part of von Recklinghausen’s disease where they are evenly distributed over the body surfa...
Gall Bladder Carcinoma: Computed Tomographic Findings in 50 cases
Background: Gall bladder carcinoma (GBC) is diagnosed late and is twice as common among women in the gangetic belt of north India. GBC are most commonly associated with cholelithiasis. Mortality rate is very high with 5...
Clinical Profile of Pediatric Tuberculosis and MGIT sensitivity: A Prospective Study from a Tertiary care Institute
Introduction: Tuberculosis (TB) is a major global health problem. Childhood tuberculosis (TB) is common in our community but it is relatively neglected, due to greater challenges in diagnosis. Clinical manifestations of...
Influence of Interactive Therapy on Improving Balance Outcomes in Patients with Multiple Sclerosis
Background: Multiple sclerosis (MS) is a chronic progressive auto-immune disease that results in demyelination of the central nervous system. The symptoms and complications in addition to impairments and disability in MS...