A comparison of Dexmedetomidine-Propofol versus Fentanyl-Propofol for ease of insertion of I-GEL.

Dr Rituraj Saini; Dr Veenashree Managavi

Volume : IX, Issue : VIII, August - 2020

A comparison of Dexmedetomidine-Propofol versus Fentanyl-Propofol for ease of insertion of I-GEL.

Dr Rituraj Saini, Dr Veenashree Managavi

Abstract :

Background and Aims- I gel insertion requires anaesthesia and suppression of airways reflexes. That�s why we copmpare dexmedetomidine and fentanyl with propofol for Igel insertion. Materials and Methods- a prospective randomized double-blind study was conducted on 60 patients of ASA grade 1 & 2, divided into two groups of 30 each. Group D received IV dexmedetomidine 1�g/kg & Group F recieved IV fentanyl 2 �g/kg and both given over 10 min diluted with 20 ml NS. For induction IV propofol 2 mg/kg was given & after 90 seconds I-GEL was inserted. Parameters observed are apnea time, HR, RR, NIBP and oxygen saturation at baseline,1, 3, 5 and 10 min after insertion of I-GEL. Statistical analysis of data was performed using the Student t-test & Chi-square test & Analysis was performed using SPSS software. Results- 28(93.33%) patients of Group D & 25(83.33%) patients of Group F had score of <2 thus showing the acceptable conditions for insertion of I-GEL. The duration of apnea was longer in Group F (304 s) than in Group D (232 s). RR in Group D got stabilized at 22/min and in Group F at 12/min by 10 min after the insertion of I-GEL. Conclusion- dexmedetomidine is a comparable alternative to fentanyl as an adjuvant when co-administered with propofol for insertion of I-Gel and preservation of respiration.