HEMODYNAMIC CHANGES DURING LMA INSERTION FOLLOWING DEXMEDETOMIDINE AND PROPOFOL VERSUS FENTANYL AND PROPOFOL - A PROSPECTIVE COMPARATIVE DOUBLE BLIND STUDY

Dr Renu Devaprasath; Dr Jeyanthan T; Dr Alex Francisco Nicholas; Dr Hari Prasad; Dr Unnikrishnan C P

Volume : VIII, Issue : V, May - 2019

HEMODYNAMIC CHANGES DURING LMA INSERTION FOLLOWING DEXMEDETOMIDINE AND PROPOFOL VERSUS FENTANYL AND PROPOFOL - A PROSPECTIVE COMPARATIVE DOUBLE BLIND STUDY

Dr Renu Devaprasath, Dr Jeyanthan T, Dr Alex Francisco Nicholas, Dr Hari Prasad, Dr Unnikrishnan C P

Abstract :

Background and Aims: Laryngeal mask airway is a useful alternative to the endotracheal tube to provide general anaesthesia. LMA insertion usually produces hemodynamic changes and it�s insertion requires optimal conditions to minimize the hemodynamic changes. This study compares the hemodynamic changes during LMA insertion with Propofol and Fentanyl Vs Propofol and Dexmedetomidine. Methods: A prospective, double blind, comparative study conducted on 54 ASA 1 or 2 patients in the age group 18-60 years coming for procedures under GA. Patients were randomized into two groups of 27 each. Both group received propofol 2mg/kg for induction, Group F received fentanyl 2�g/kg and group D received dexmedetomidine 1�g/kg. HR, SBP, DBP and MAP were monitored prior to injection of the study drug and at following time intervals: after study drug, before insertion, after insertion,1,3,5 and 10 min after insertion. Result: There are no significant change in HR, SBP, DBP & MAP after LMA insertion compared to pre LMA values in both groups. Conclusion: There are no significant hemodynamic changes in both groups.