COMPARATIVE EVALUATION OF THE EFFECTS OF DEXMEDETOMIDINE-PROPOFOL AND FENTANYL-PROPOFOL ON VARIOUS PARAMETERS DURING I-GEL INSERTION

Suja KC; Sethunath R; Elizabeth Joseph; Susan T Cheeran

doi:10.22159/ajpcr.2023.v16i8.47757

Authors

Suja KC Department of Anaesthesiology, Government Medical College, Kottayam, Kerala, India.
Sethunath R Department of Anaesthesiology, Government Medical College, Kottayam, Kerala, India.
Elizabeth Joseph Department of Anaesthesiology, Government Medical College, Kottayam, Kerala, India.
Susan T Cheeran Department of Anaesthesiology, Government Medical College, Kottayam, Kerala, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i8.47757

Keywords:

I-Gel, Fentanyl, Propofol, Dexmedetomidine, Heart rate, Arterial blood pressure

Abstract

Objectives: Supraglottic airway devices (SGAD) have become inevitable for routine and difficult airway management and various induction agents are used for SGAD insertion. The present study compares the insertion conditions for I-gel, using Dexmedetomidine and Fentanyl with Propofol.

Methods: Sixty patients were included in the study and randomly divided into two groups. Group D received 1 mcg/kg Dexmedetomidine and Group F received 1 mcg/kg Fentanyl. The mean arterial blood pressure (MAP) and heart rate (HR) were recorded at baseline and after 1’, 3’ 5’, and 10’ after insertion.

Results: A significant decrease in HR was seen in Group D at 3’, 5’, and 10’ after insertion when compared to its respective time intervals in Group F. However, when MAP was observed, the 5’ after insertion showed a decrease in blood pressure within the groups but when MAP between groups were compared, there was no significant variation between Group F and Group D at their respective time intervals after insertion. HR was significantly reduced with Dexmedetomidine compared to that with Fentanyl.

Conclusion: Co-induction of Propofol with Fentanyl or Dexmedetomidine 1 mcg/kg provides satisfactory hemodynamic stability and comparable insertion condition for I-Gel.

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