Etomidate versus Propofol for LMA easa of placement in children

Abstract

The production of small-sized LMAs made it possible to use this device in pediatric surgeries. Successful LMA placement requires proper opening of the mouth and adequate depth of anesthesia to minimize upper airway reflexes and prevent complications such as coughing, straining, and laryngospasm. Materials and Methods: 100children aged 6 months to 12 years were studied with ASA class I and II candidates for elective surgery under general anesthesia with LMA. Drug injection and LMA were performed by two separate anesthesiologists. Hemodynamic parameters such as heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and arterial oxygen saturation before and after induction were recorded before and after LMA administration at 5, 3, 1 minutes. The number of attempts, as well as the time required for LMA placement, as well as complications such as apnea episodes, pain when injecting, myoclonus, Bucking, laryngospasm, soft tissue trauma (blood on the LMA) of the stridor after LMA and sore throat are recorded. All patients underwent premedication with 2mcg / kg fentanyl and 0.05 mg / kg midazolam before induction of anesthesia. All patients were pre-oxygenated for 3 minutes and then induced anesthesia. Group P received 3 mg / kg propofol and group 3 mg / kg E received etomidate. The volume of both drugs was equalized by diluting 10 ml of distilled water (total volume 20 ml and each ml containing 1 mg of etomidate) and inserting a 20 ml propofolder syringe. Results: There were no significant changes in MAP and heart rate changes in the two groups during the findings. Also, the duration of implantation and the frequency of attempts for successful implantation in the automatid group were significantly lower. It was higher in the autoimmune group, and stridor was higher in the propofol group after LMA and Bucking.