1Assistant professor, Department of Anaesthesiology, SRM Medical College Hospital and Research Centre, SRM University
2Associate professor, Department of Anaesthesiology, ESI Postgraduate Institute of Medical Science And Research, Chennai
*Corresponding Author: Email: drcrsaravanan@gmail.com
Online published on 18 November, 2015.
Laryngeal mask airway(LMA) is a supraglottic airway device extensively used in children for day care surgeries. Propofol is the gold standard drug for LMA insertion, but Sevoflurane is a recent volatile agent emerging as an effective alternative.
The objective of this study is to compare Sevoflurane and Propofol for insertion of Laryngeal mask airway in children.
We conducted a prospective randomized study involving 60 paediatric patients posted for below umbilicus surgeries aged between 4 and 12 years of ASA physical status 1&2. 30 patients in group S were induced with sevoflurane 7% and 30 patients in group P were induced with propofol 3mg/kg i.v. The time to induction, time to jaw relaxation, time to LMA insertion were recorded. The hemodynamic parameters and any complications associated during the procedure were recorded.
Patients in group S had shorter induction time(39.1±6.30 s Vs 41.4±4.17 s in group P) whereas time to jaw relaxation(107.3±17.51 s in group S Vs 49.4±5.69 s in group P) and time to LMA insertion(117.9±19.2 s in group S Vs 59.3±6.8 s in group P) were shorter in group P. Both the groups were comparable in successful insertion in the first attempt as well as hemodynamic stability.
Propofol and Sevoflurane are equally effective for LMA insertion in children.
Propofol, Sevoflurane, Laryngeal mask airway, paediatric LMA, day care surgeries
