2022International Journal of Health SciencesOpen access

Comparative study of sevoflurane versus propofol for laryngeal mask airway insertion in adults

Harpreet Singh, Gulshan Dhawan, Phool Kanwar Singh Brar, Shital Bhardwaj, Mrigaxee Barman, Rohini Srivastava

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Abstract

Background: Propofol is a preferred induction agent for laryngeal mask airway (LMA) insertion due to its propensity of suppressing oropharyngeal and cough reflexes. Sevoflurane is a nonpungent inhalation anesthetic agent which can be used as an induction agent. The aim of the present study was to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. Material and methods: The present study was carried out in 300 patients to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. In Group-A: induction with propofol and in Group-B: induction was done with inhalational sevoflurane 8. Various vital parameters and other clinical parameters were recorded and compared in both the groups. The statistical analysis was done. Results:Propofol needed leser time to loss of eyelash reflex, Time to jaw relaxation, Time to completion of successful insertion of Laryngeal Mask Airway. The percentage of patients who had successful LMA insertion at first attempt was larger with propofol. The duration of apnea was longer in group propofol. Excitatory movement was more in group propofol. Cough, laryngospasm was absent in propofol. Hiccups was absent in both groups. During insertion of LMA, coughing, gagging was absent in group sevoflurane and laryngospasm was absent in propofol.

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Background: Propofol is a preferred induction agent for laryngeal mask airway (LMA) insertion due to its propensity of suppressing oropharyngeal and cough reflexes. Sevoflurane is a nonpungent inhalation anesthetic agent which can be used as an induction agent. The aim of the present study was to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. Material and methods: The present study was carried out in 300 patients to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. In Group-A: induction with propofol and in Group-B: induction was done with inhalational sevoflurane 8. Various vital parameters and other clinical parameters were recorded and compared in both the groups. The statistical analysis was done. Results:Propofol needed leser time to loss of eyelash reflex, Time to jaw relaxation, Time to completion of successful insertion of Laryngeal Mask Airway. The percentage of patients who had successful LMA insertion at first attempt was larger with propofol. The duration of apnea was longer in group propofol. Excitatory movement was more in group propofol. Cough, laryngospasm was absent in propofol. Hiccups was absent in both groups. During insertion of LMA, coughing, gagging was absent in group sevoflurane and laryngospasm was absent in propofol.

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Available abstract

Background: Propofol is a preferred induction agent for laryngeal mask airway (LMA) insertion due to its propensity of suppressing oropharyngeal and cough reflexes. Sevoflurane is a nonpungent inhalation anesthetic agent which can be used as an induction agent. The aim of the present study was to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. Material and methods: The present study was carried out in 300 patients to compare Sevoflurane versus Propofol for laryngeal mask airway insertion in adults. In Group-A: induction with propofol and in Group-B: induction was done with inhalational sevoflurane 8. Various vital parameters and other clinical parameters were recorded and compared in both the groups. The statistical analysis was done. Results:Propofol needed leser time to loss of eyelash reflex, Time to jaw relaxation, Time to completion of successful insertion of Laryngeal Mask Airway. The percentage of patients who had successful LMA insertion at first attempt was larger with propofol. The duration of apnea was longer in group propofol. Excitatory movement was more in group propofol. Cough, laryngospasm was absent in propofol. Hiccups was absent in both groups. During insertion of LMA, coughing, gagging was absent in group sevoflurane and laryngospasm was absent in propofol.

Key concepts: Laryngospasm, Propofol, Sevoflurane, Medicine, Anesthesia, Laryngeal mask airway, Airway, Apnea

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