Title: Propofol or Sevoflurane for Laryngeal Mask Airway Insertion-A Comparative Study
Authors: Dr Ushakumari.P.R, Dr Harikumar.C.K
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.123
Abstract
Induction agents were proposed. This study attempts to compare effects of propofol and sevoflurane with the help of an accepted scoring system. We conducted this prospective study at SAT hospital government medical college Trivandrum after ethics committee clearance. The inclusion criteria were pediatric patients aged 3 to 12 years, of ASA grade, I and II, undergoing various surgical procedures such as such as herniotomy, circumcision, urethroplasty and lower limb surgeries. Exclusion criteria were those at increased risk of aspiration, with difficult airway, history of convulsions and ISL. This study had a sample size of 25 each patient selected randomly in the two groups namely propofol group and sevoflurane group. Details about basic demographic features and components of the scoring systems were collected in a pretested case report form. All statistical analyses were done in R statistical environment. Study had more males compared to female. The heart rate was 104± 3.88 (S.D.). The median blood pressure was 110(108;110)mm Hg. The mean weight was 14(13;16). Total score for Propofol showed- poor 7 (28%), satisfactory 15 (60%) and excellent 3 (12%). Regarding Sevoflurane, the scores were - poor 12 (48%), satisfactory 9 (36%) and excellent 4 (16%). There was a statistically significant difference between the two groups when the total scores were compared (p value <0.05). The result of study showed that Propofol and Sevoflurane fulfill many of the characteristics of an ideal induction agent for LMA insertion in pediatric patients which include rapid smooth induction, smooth maintenance, minimum side effects, not much post operative complications and no cardiorespiratory side effects. Both 1% Propofol and Sevoflurane are excellent agents as induction agents for the LMA insertion in paediatric patients. Considering the parameters in the scoring system, Propofol is superior to Sevoflurane.Thus, from this study the conclusion is that propofol is a better induction agent for LMA insertion in paediatric patients compared to Sevoflurane and results are coinciding with that of other studies.
