FENTANYL & BUTORPHANOL AS CO-INDUCTION AGENTS FOR LMA INSERTION: A COMPARATIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 36
Abstract
Co Induction Agents for LMA. BACKGROUND: A randomized double blind comparative study was done to assess the effectiveness of fentanyl & butorphanol as coinduction agents with propofol for insertion of Laryngeal Mask Airway (LMA) in adults for elective short surgical procedures. METHODS: Sixty patients of ASA grade 1 and 2 between 15-55 years of age were randomly divided into two groups. After giving standard premedication group A was given injection butorphanol 20 mcg/kg IV and group B injection fentanyl 1.5mcg/kg IV. Both the groups were immediately given propofol 2.5mg/kg IV over 15 seconds until loss of eyelash reflex, after which LMA insertion was performed 60 seconds after injection of propofol. Patients were kept on spontaneous respiration and maintained with isoflurane 0.5%-1.2%, 60%N2O, and 40%O2 along with propofol bolus when required. RESULTS: In our study propofol requirement for LMA insertion was significantly less in butorphanol group and significantly less apnea time was seen with butorphanol (96.66%) as compared to fentanyl (76.66%). The incidence of absolute jaw relaxation was highest in butorphanol (93.33%) and excellent insertion conditions were observed. Best insertion conditions were seen in 92.30% of butorphanol group and 74.15% in fentanyl group. CONCLUSION: The addition of butorphanol to propofol for LMA insertion provides good jaw relaxation and excellent LMA insertion conditions with stable haemodynamics. Side effects like coughing, gagging, lacrimation, and limb movements are lower as compared to the other group. So, butorphanol is a good adjuvant with propofol for LMA insertion during short surgical procedures under general anesthesia.
Authors and Affiliations
Chaula Doshi, Sourabh Phadtare, Gurlyn Ahluwalia, Sunita Swami, Varsha Vyas, Surekha Patil, Jayshree Vaswani, Shubha Mohite
Keywords
Related Articles
- EP ID EP232915
- DOI 10.18410/jebmh/2015/778
- Views 68
- Downloads 0
CRUSTED SCABIES IN A PATIENT WITH ACUTE LYMPHOCYTIC LEUKEMIA
A 17 years old male patient presented with diffuse, ill defined, hyperpigmented, scaly plaques on the body, for the past 15 days. Lesions were more over the groin and also on both elbows and wrists. Patient is a known ca...
ABDOMINAL TRAUMA- CLINICAL STUDY
BACKGROUND In the recent times there has been increased incidence of abdominal trauma cases due to several causes. Quick and prompt intervention is needed to decrease the mortality of the patients. So we conducted a stud...
TEENAGE PREGNANCY AND ITS OBSTETRIC OUTCOME
BACKGROUND Teenage pregnancy is upcoming as one of the most important social and public health problem all over the world. In the present study, we have evaluated the maternal and foetal outcomes of teenage pregnancy in...
ANATOMICAL VARIATIONS IN SINONASAL REGION IN CASES OF SINUS HEADACHE - CT SCAN - PNS STUDY
Sinus headache secondary to Chronic Rhinosinusitis refers to episode of pain over the sinus area of the face and is often associated with nasal congestion, rhinorrhea, facial pressure, lacrimation, nausea and sensory sen...
PSORIASIS- A CLINICAL STUDY FROM GARHWAL REGION OF UTTARAKHAND
BACKGROUND Psoriasis is a chronic, genetically determined, inflammatory, immune-mediated skin disease. Its prevalence and pattern are influenced by diverse genetic, ethnic and environmental factors. Many epidemiological...