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Category: Volume 07 Issue 03 March 2019
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Title: Evaluation of Intubating Condition using Propofol and Propofol Plus Sevoflurane: A Randomized Controlled Trial

Author: Pradipta Kumar Patel, Sumati Kandi, Ratikanta Nayak, Saransh Mishra

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.238

Abstract

Background and Aims: The purpose of the present study was

  • To study and compare the ease of intubation with combination of Sevoflurane4% and Propofol 1.5mg/kg with IV Propofol 3mg/ kg alone.
  • To study the quality of intubation at first attempt.
  • To study the hemodynamic response during induction and intubation

Materials and Methods: The study was conducted in 80pts of ASA I & II, non obese, adult patients aged between 20-40yrs coming for elective surgical procedures under General Anaesthesia. Anaesthesia was induced in Group A patients by 67% N2O in O2 and IV propofo 3 mg/kg injected over 30s. Group B patients were induced by mask with sevoflurane starting at 0.5% and incrementally increased to 4% inhaled concentration with 67% nitrous oxide in oxygen at a total gas flow of 8 liters/min and IV propofol 1.5mg/kg injected over 15s and tracheal intubation was attempted at 240s after the start of induction in both groups. The heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure before and after induction and post-intubation at 1, 3 and 5 minutes were recorded. Intubating conditions were assessed by anaesthesiologist who performed intubation using Copenhagen Consensus Conference (CCC)18 intubation score.

Results: Overall acceptable intubating conditions were significantly associated with Group B when compared with Group A. Number of attempts were significantly less in Group B when compared to Group A.

Conclusion: We concluded that combination of inhalational 4% sevoflurane with IV propofol 1.5mg/kg is superior to IV propofol 3mg/kg with respect to quality of intubation and less significance with respect to hemodynamic response during induction and intubation in adult patients undergoing various elective surgical procedures without muscle relaxants and also this combination is cost effective.

Keywords: Propofol, Sevoflurane, Copenhagen  Consensus Conference intubation  (CCC)Score.

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Corresponding Author

Ratikanta Nayak

Junior Resident, Department of Anaesthesiology, VIMSAR, Burla