A comparative study of propofol versus sevoflurane for laryngeal mask airway insertion in patients undergoing burns surgery Dr. Panjabi Gauri, Dr. Desai Nipa*, Dr. Vaghela Yogesh Department of Anesthesiology, NHL Medical college and VS Hospital, Ahmedabad, Pin-380006 *Author for correspondence: Dr. Nipa N Desai, MD, E-mail: drnipadesai@yahoo.co.in
Online published on 17 February, 2017. Abstract Background and Objectives The laryngeal mask airway[LMA] provides a useful alternative for airway management during spontaneous or controlled ventilation. LMA can be inserted successfully after suppression of airway reflexes under deep anesthesia using intravenous propofol or inhalational method using sevoflurane. The anesthesiologist's priority in burns patients undergoing surgery are to maintain cardiovascular stability & secure airway. Methods A cross sectional STUDY WAS CARRIED OUT in 50 patients of ASA gtoup I& II aged between 15–60 years of either sex having burn injury and divided into 2 groups of twenty five each in medical college in Gujarat. Induction time, quality of LMA insertion and complications during insertion as well as post operative was noted. Patient's vitals were measured before induction, immediately after LMA insertion and 5 min, 8min, & 10 min. after LMA insertion. Result Mean induction time was 61.88±6.71 seconds in group A & 92.8±6.55 seconds in group B. LMA was successfully inserted in all cases. In group-A LMA insertion was done in 1st attempt in all patients, while in group-B 5 patients(20%) required 2nd attempt. Decrease in mean arterial pressure after LMA insertion in group-A was significant compare to group-B. in group-A there washigher incidence of hypotension, apnoea>30 seconds and pain on injection site while in groip-B there was high incidence of coughing during insertion and PONV. Conclusion Our study found that both propofol & sevoflurane provide good quality of anesthesia for insertion of LMA in burns patients. As sevoflurane causes less hemodynamic changes than propofol which is beneficial in burns patients. So sevoflurane is better alternative to propofol for laryngeal mask airway insertion Top Keywords LMA, propofol, sevoflurane, burns patient, hemodynamic changes. Top |