COMPARISON OF INDUCTION OF GENERAL ANESTHESIA WITH PROPOFOL AND SEVOFLURANE FOREASE OF I GEL INSERTION: A RANDOMISED CONTROLLED TRIAL

Akshay Chandrashekar Gundalli; Vijai MN; Gokul B; Vikram Singh Rathore

doi:10.22159/ajpcr.2023.v16i10.47922

Authors

Akshay Chandrashekar Gundalli Department of Anaesthesiology, Command Hospital Air Force, Bengaluru, Karnataka, India.
Vijai MN Professor Department Of Anaesthesiology Command Hospital Airforce Bangalore
Gokul B Department of Anaesthesiology, Sri Atal Bihari Vajpayee Medical College and Research Institute, Bengaluru, Karnataka, India.
Vikram Singh Rathore Department of Anaesthesiology, Pacific Medical College and Hospital, Udaipur, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i10.47922

Keywords:

Sevoflurane, Propofol, Supraglottic airway device, Laryngospasm

Abstract

Objectives: The aim of this study is to compare the conditions for supraglottic airway device (I Gel) insertion following induction of anesthesia with inhalation of Sevoflurane or intravenous induction with propofol in patients undergoing short surgery (<3 h) and comparison the loss of eye reflex, Hemodynamic parameters, Jaw opening, Ease of insertion, coughing, gagging, laryngeal spasm are taken into consideration.

Methods: It is randomized control trial was conducted in the Department of Anaesthesia at Command Hospital (Air Force) Bengaluru after obtaining permission from the Institutional Ethical Committee. A total of 140 patients included in the study with written consent, during the 18-month period between May 2020 and November 2021. Patients were randomized into one of the two groups as group P: Propofol and group S: Sevoflurane for induction of anesthesia. Both groups receive IV Lignocaine (2 mL of 1%) before induction of anesthesia. The grading condition for insertion between the groups were noted and compared using appropriate statistical tool using SPSS v21 operating on windows 10.

Results: There was no significant difference in the mean age of patients between propofol group and sevoflurane group. Overall propofol group had the better performance compared to the sevoflurane group. There was higher incidence of repeat administration in the sevoflurane group (2.9%) compared to propofol group (1.4%), which was statistically insignificant.

Conclusion: The present study found comparable results for supraglottic airway device (I Gel) following induction of anesthesia with inhalation of Sevoflurane or intravenous induction with Propofol.

Downloads

Download data is not yet available.

References

Nagahisa Y, Hashida K, Matsumoto R, Kawashima R, Okabe M, Kawamoto K. A randomized clinical study on postoperative pain comparing between the supraglottic airway device and endotracheal tubing in transabdominal preperitoneal repair (TAPP). Hernia 2017;21:391-6. doi: 10.1007/s10029-017-1586-y, PMID 28194529

Jannu A, Shekar A, Balakrishna R, Sudarshan H, Veena GC, Bhuvaneshwari S. Advantages, disadvantages, indications, contraindications and surgical technique of laryngeal airway mask. Arch Craniofac Surg 2017;18:223-9. doi: 10.7181/acfs.2017.18.4.223, PMID 29349045

Brimacombe J. The advantages of the LMA over the tracheal tube or facemask: A meta-analysis. Can J Anaesth 1995;42:1017-23. doi: 10.1007/BF03011075, PMID 8590490

Hernandez MR, Klock PA Jr., Ovassapian A. Evolution of the extraglottic airway: A review of its history, applications, and practical tips for success. Anesth Analg 2012;114:349-68. doi: 10.1213/ ANE.0b013e31823b6748, PMID 22178627

Mikhail M, Sabri K, Levin AV. Effect of anesthesia on intraocular pressure measurement in children. Surv Ophthalmol 2017;62:648-58. doi: 10.1016/j.survophthal.2017.04.003, PMID 28438591

Siddik-Sayyid SM, Aouad MT, Taha SK, Daaboul DG, Deeb PG, Massouh FM, et al. A comparison of sevoflurane-propofol versus sevoflurane or propofol for laryngeal mask airway insertion in adults. Anesth Analg 2005;100:1204-9. doi: 10.1213/01. ANE.0000148166.29749.3B, PMID 15781547

Singh H, Dhawan G, Brar PK, Bhardwaj S, Barman M, Srivastava R. Comparative study of sevoflurane versus propofol for laryngeal mask airway insertion in adults. Int J Health Sci 2022;6:9441-6. doi: 10.53730/ijhs.v6nS2.7473

Ti LK, Chow MY, Lee TL. Comparison of sevoflurane with propofol for laryngeal mask airway insertion in adults. Anesth Analg 1999;88:908- 12. doi: 10.1097/00000539-199904000-00041, PMID 10195546

Udaybhaskar V, Singam A, Dodeja H, Taksande K. Comparison of inhalational vital capacity induction with sevoflurane to intravenous induction with propofol for insertion of laryngeal mask airway in adults: A randomized study. Anesth Essays Res 2018;12:73-9. doi: 10.4103/aer.AER_193_17, PMID 29628558

Kumari M, Sood S, Dhir G. Comparison of sevoflurane and propofol for insertion of laryngeal mask airway in adults. J Evol Med Dent Sci 2018;7:4424-8. doi: 10.14260/jemds/2018/988

Molloy ME, Buggy DJ, Scanlon P. Propofol or sevoflurane for laryngeal mask airway insertion. Can J Anaesth 1999;46:322-6. doi: 10.1007/ BF03013222, PMID 10232714

Priya V, Divatia JV, Dasgupta D. A comparison of propofol versus sevoflurane for laryngeal mask airway insertion. Indian J Anaesth 2002;46:31-4.