A comparison between propofol and sevoflurane for easy insertion of laryngeal mask airway among adults in minor elective surgeries: An observational study

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dc.contributor.authorBanerjea, Aen_US
dc.contributor.authorGhosh, Sen_US
dc.contributor.authorSingh, URen_US
dc.contributor.authorMukhopadhyay, O.en_US
dc.date.accessioned2023-06-27T06:41:54Z
dc.date.available2023-06-27T06:41:54Z
dc.date.issued2023-03
dc.description.abstractBackground: The laryngeal mask airway (LMA) has reached ample popularity for the management of airway during surgery. Propofol, used as induction agent, causes change in blood pressure and heart rate (HR) while insertion of LMA. Sevoflurane, whereas, has the potential to be a good induction agent as propofol. We have compared propofol and sevoflurane for easy insertion of LMA among adults in minor surgeries. Aim and Objectives: The primary objective of the study was to compare the ease of insertion of LMA and its characteristics related to insertion among adults in minor elective surgeries using intravenous propofol or inhalational sevoflurane. While time taken to set induction and actual event of LMA insertion along with number of attempts, jaw relaxation time, LMA insertion time, apnea time, monitoring hemodynamic changes, and occurrence of complications were taken as secondary objectives. Materials and Methods: It was a prospective and observational study done in Department of Anesthesiology and Operation Theaters of Fortis Hospital, Kolkata, after getting ethical approval. Total 100 patients were recruited by consecutive sampling and divided into two groups - P (propofol) and S (sevoflurane) group. Anesthesia induction time, jaw relaxation time, LMA insertion time, etc. were noted. LMA insertion conditions were assessed by a 3-point scale using six variables, total score was calculated for each group. Hemodynamic parameters and induction complications were also recorded. Results: There was no significant difference in demographic parameters, American Society of Anesthesiologists class, Modified Mallampati Grading, and LMA size, between the groups. LMA insertion time was comparable between the two groups. Regarding complications, there was no incidence of coughing while minor gagging (4%) and laryngospasm (6%) were noted only with sevoflurane. Final summation of scores showed excellent insertion characteristics with propofol (94%) and sevoflurane (84%), respectively, with no significant difference. Conclusion: Inhalational sevoflurane may be regarded as a viable alternative to inj. propofol for insertion of laryngeal mask among adults in minor elective surgeries.en_US
dc.identifier.affiliationsDepartment of Critical Care Medicine, Fortis Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Pharmacology, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, Fortis Hospital Anandapur, Kolkata, West Bengal, Indiaen_US
dc.identifier.citationBanerjea A, Ghosh S, Singh UR, Mukhopadhyay O.. A comparison between propofol and sevoflurane for easy insertion of laryngeal mask airway among adults in minor elective surgeries: An observational study. National Journal of Physiology, Pharmacy and Pharmacology. 2023 Mar; 13(3): 629-634en_US
dc.identifier.issn2231-3206
dc.identifier.issn2320-4672
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/217980
dc.languageenen_US
dc.publisherMrs Dipika Charan of MedScience (India) Publicationsen_US
dc.relation.issuenumber3en_US
dc.relation.volume13en_US
dc.source.urihttps://dx.doi.org/10.5455/njppp.2023.13.11548202202022023en_US
dc.subjectInduction Agenten_US
dc.subjectLaryngeal Mask Airwayen_US
dc.subjectPropofolen_US
dc.subjectSevofluraneen_US
dc.subjectVital Capacity Techniqueen_US
dc.titleA comparison between propofol and sevoflurane for easy insertion of laryngeal mask airway among adults in minor elective surgeries: An observational studyen_US
dc.typeJournal Articleen_US
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