Title: Comparison of Sevoflurane and Propofol for Laryngeal Mask Airway Insertion in Children Undergoing Surgical Procedures
Authors: Ira Balakrishnan M., Arin Choudhury, Meena Singh, Ashok Shanker Badhe
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.105
Abstract
We compared patient outcomes for propofol vs sevoflurane induction for ease of laryngeal mask airway (LMA) insertion in sixty children undergoing abdominal or lower limb surgery, were randomly assigned to receive either propofol 3 mg.kg-1over 20 seconds, orinduction with sevoflurane 8%. The following assessments were made induction time, LMA insertion time, number of attempts, insertion conditions, cardio respiratory effects, total drug required in both the group, adverse effect if any were noted. The first-time insertion success rates were similar, but induction time was shorter with propofol (77.1±35.81 p value <0.05).incidence of coughing, patient movement during placement of LMA, were higher in propofol group as compared to sevoflurane group (P < 0.05). There was significant fall in blood pressure in propofol group after 2 min of Lma insertion which was statistically not significant. Total dose of propofol required for endpoint achievement in the group P children was about 3.42 ± 0.36 mg/kg. Thus, we would recommend a higher dose of propofol for LMA insertion in children. We also studied the mean MAC value of sevoflurane for endpoint achievement that was about 2.86±.54 needed for LMA insertion in children aged 3-12 years without causing significant hemodynamic changes. So, we concluded that the techniques described here using propofol and sevoflurane are equally suitable for induction and for LMA insertion in children undergoing surgery below the umbilicus.
Keywords: Volatile Induction, Sevoflurane, propofol, LMA, children.
