To Compare The Haemodynamic Resopnses and Adequacy of Ventilation Between Laryngoscopic Endotracheal Intubation and Laryngeal Mask Airway Classic Insertion in Short Surgical Procedures Under General Anaesthesia with Muscle Relaxation

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 5

Abstract

The haemodynamic response associated with laryngoscopy and tracheal intubation may be harmful to certain patients. The laryngeal mask airway (LMA) avoids the need for laryngoscopy and allows positive pressure ventilation of the lungs in appropriate patients. This study compared the haemodynamic response, ease of insertion and adequacy of ventilation, of tracheal intubation with that of LMA-Classic insertion in patients undergoing short surgical procedures. Sixty patients undergoing short surgical procedures between 18-60 years of ASA grade I and II were randomly allotted to one of the two groups of 30 each (group ETT vs group LMA). Laryngoscopic tracheal intubation or LMA-classic insertion was performed after induction of anaesthesia with fentanyl and propofol, and muscle relaxation with succinylcholine. Anaesthesia was maintained with halothane and nitrous oxide in oxygen. Haemodynamic response, ease of insertion and adequacy of ventilation was observed and compared. The increase in HR, SBP, DBP and MAP in the laryngeal mask airway group was significantly less than that in ETT group. Also the observed haemodynamic variables returned to baseline earlier in LMA group than in ETT group. There was no statistical difference observed in oxygenation and adequacy of ventilation between the two groups with no significant difference in periopertive adverse events in both the groups. Our study supports the usefulness of laryngeal mask airway as an alternative to endotracheal tube in airway management during general anaesthesia (with muscle relaxation) in appropriate patients for short surgical procedures.

Authors and Affiliations

Tahir Ali Khan

Keywords

Related Articles

Comparison of Tramadol and Butorphanol as Adjuncts to Lignocaine for Intravenous Regional Anaesthesia for Upper Limb Surgeries

Background: The use of adjuncts with local anaesthetics improve the quality of sensory block and prolong the postoperative analgesia in Intravenous Regional Anaesthesia (IVRA). Material and Methods: Ninety adult American...

Effect of Dexmedetomidine on Haemodynamic Response to Pneumoperitoneum in Patients Undergoing Laparoscopic Cholecystectomy

Background: As laparoscopic cholecystectomy is a routinely performed surgery, it is desirable to have a stable intraoperative haemodynamic status. This study is designed to evaluate the efficacy of single intravenous bol...

Obese Parturient: Anaesthesiologist’s Nightmare

Obesity is increasing in general population, and especially in pregnant mothers, which significantly increases the risk of maternal and fetal complications. Body Mass Index (BMI) is a simple index of weight-for-height,...

A Comparative Evaluation of Dexmedetomidine and Midazolam in Monitored Anaesthesia Care for Tympanoplasty

Introduction: Monitored Anaesthesia care (MAC) has been defined by the American Society of Anaesthesiologists as a diagnostic or therapeutic procedure done under local anaesthesia along with sedation and analgesia. Advan...

Addition of Morphine to Bupivacaine in Ultrasound Guided Transversus Abdominis Plane Block Prolongs Postoperative Analgesia after Gynaecological Cancer Surgery

Background: There is significant postoperative pain in major gynecological cancer surgery patients. Ultrasound (USG) guided Transversus Abdominis Plane (TAP) block is a novel approach to provide analgesia to anterior abd...

Download PDF file
  • EP ID EP538392
  • DOI 10.21088/ijaa.2349.8471.5518.25
  • Views 80
  • Downloads 0

How To Cite

Tahir Ali Khan (2018). To Compare The Haemodynamic Resopnses and Adequacy of Ventilation Between Laryngoscopic Endotracheal Intubation and Laryngeal Mask Airway Classic Insertion in Short Surgical Procedures Under General Anaesthesia with Muscle Relaxation. Indian Journal of Anesthesia and Analgesia, 5(5), 849-855. https://europub.co.uk./articles/-A-538392