Haemodynamics During Induction with Sevoflurane Versus Propofol Using Laryngeal Mask Airways in Forearm Orthopaedic Surgeries in Older Children

  • Tooba Iqbal Department of Anaesthesia, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi
  • Muhammad Shafiq Department of Anaesthesia, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi
  • Muhammad Ali Department of Anaesthesia, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi
  • Muhammad Imran Butt Department of Anaesthesia, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi
  • Muhammad Nabeel Department of Anaesthesia, Benazir Bhutto Hospital and Rawalpindi Medical University, Rawalpindi
Keywords: Laryngeal mask airway,, Propofol, Sevoflurane

Abstract

Background: To compare the hemodynamic
changes during induction of anesthesia with
propofol and sevoflurane in children undergoing
forearm orthopedic surgeries.
Methods: In this descriptive study 60 pediatric
patients, scheduled for forearm orthopedic surgical
procedure under general anesthesia requiring LMA
insertion were included. The selected patients were
allocated into two groups; A (Propofol) and B
(Sevoflurane) of 30 each. Group A was induced with
IV Propofol 2mg/kg while Group B was induced by
sevoflurane 6-8%. Anesthetic induction was
supposedly achieved after loss of eyelash reflex.
Results: Compared with base line, both groups
showed a statistically significant decline in mean
arterial pressure after induction. Propofol group (A)
showed a larger transient decrease in MAP compared
to sevoflurane group (B) (p<0.001). There was a
statistical significant overall greater decline in MAP
and heart rate after induction with propofol when
compared with sevoflurane.
Conclusion: Sevoflurane provides slightly better
hemodynamic stability compared to propofol during
anesthetic induction.

Published
2018-03-30
How to Cite
1.
Iqbal T, Shafiq M, Ali M, Butt MI, Nabeel M. Haemodynamics During Induction with Sevoflurane Versus Propofol Using Laryngeal Mask Airways in Forearm Orthopaedic Surgeries in Older Children. JRMC [Internet]. 30Mar.2018 [cited 9May2021];22(1):27-0. Available from: https://journalrmc.com/index.php/JRMC/article/view/841
Section
Articles