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Volume 12 Issue 2 ( April- June) 2023

Original Articles

A prospective observational study of ease of insertion for blockbuster laryngeal mask airway with sevoflurane and propofol and hemodynamic response in patients undergoing urological procedures
Basharat Farooq Rather, Sami Ullah Mujoo, Umera Ikram

Background: A common method for laryngeal mask airway insertion (LMA) is with the use of propofol.However, propofol bolus doses have adverse side effects like hypotension, apnea and pain on injection.Hence, alternative methods are needed to attenuate the adverse effects with propofol.AIMS:We aimed to study the induction characteristics,ease of Blockbuster LMAinsertion,hemodynamic changes with inhalation of 8% Sevoflurane and propofol.Material and Methods: A prospective observational study of 60 American Society of Anaesthesiologists (ASA) Grade 1 and 2 patients was conducted with 2 groups with 30 each undergoing Urological procedures under general anaesthesia.Group A received the injection propofol and Group B received Sevoflurane.At the end of induction, Blockbuster LMA insertion was attempted.Differentmethods were used to grade the conditions for LMA insertion like LMA size, loss of verbal contact,loss of eyelash reflex,jaw opening, ease of insertion and complications like coughing, laryngospasm were assessed.Hemodynamicresponse such as Heart rate and Mean arterial pressure were also assessed.Data was recorded and analysed using unpaired t test,Mann-Whitney test and Chi-square test. Results: Sevoflurane took more time for induction and Blockbuster Insertion than propofol.There was no statistically significant difference between Group A and Group B with respect to LMA insertion characteristics, heart rate and mean arterial pressure.Conclusion:It is concluded that Sevoflurane is associated with good hemodynamic stability and may be used in cases where adverse effects of propofol is not needed.

 
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