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Volume 13 Issue 1 (January) 2024

Original Articles

To determine the state of tracheal intubation after sevoflurane and propofol induction in the absence of muscle relaxants
Debashisa Padhi, Beda Prakash Dash, Subrat Kumar Nayak, Swatee Shatarupa Subhadarshini

It was the aim of this study to investigate the circumstances of tracheal intubation after induction with propofol and sevoflurane without the use of muscle relaxants, as well as to compare the two medicines in terms of the intubation conditions that they simultaneously produce. In the beginning, it was thought that there would be twenty-five people who would be suited for the experimental medicine. These patients were randomly allocated to one of two groups throughout the induction process, and they were either administered propofol or sevoflurane in a paired form throughout the process. All of the patients in both groups were administered midazolam and atropine by oral administration forty-five minutes prior to the beginning of the operation. Following the induction of the patient, a laryngoscopy was carried out, and all of the circumstances that contributed to the intubation were evaluated and appraised. There were a number of qualities that were included in this category, including the ease with which a laryngoscopy could be performed, motions of the vocal chords, coughing, relaxation of the jaw, and limb movements. The oxygen saturation, blood pressure, and pulse rate of both groups were evaluated at the beginning of the procedure, after the induction, one minute, two minutes, five minutes, and ten minutes after the intubation. These measurements were taken at both the beginning and the end of the process. These measures were obtained before the start of the procedure, following the induction, and throughout the intubation. After analyzing the study's findings, it was determined that the two groups' intubation durations were similar (P value = 0.303). However, compared to group B, a greater percentage of children in group A, 20% vs. 7.5 percent, respectively, needed second and third intubation. Notably, compared to the propofol group, the sevoflurane group demonstrated far superior clinically acceptable circumstances (P value = 0.012). The results demonstrated that compared to sevoflurane, propofol increased the frequency of coughing fits and limb movements. Despite a decrease in blood pressure in the sevoflurane group, the propofol group showed a significant improvement in heart rate.

 
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