COMPARATIVE STUDY OF SEVOFLURANE AND PROPOFOL FOR EASE OF I-GEL INSERTION IN ADULT PATIENTS UNDERGOING GENERALANESTHESIA FOR SHORT PROCEDURES.

Abstract

Background: I-gel is a second generation supraglottic airway device designed to provide and maintain a seal around the laryngeal inlet for spontaneous ventilation and allow controlled ventilation at modest levels of positive pressure thereby endotracheal intubation can be avoided. Propofol has been the drug of choice due to its better safety prole, relaxation and suppression of airway reexes among intravenous induction agents. Sevourane with its pleasant odor, non-irritating to the airways and due to its bronchodilator property are best among the volatile agents. We aim to compare induction characteristics and ease of I gel insertion with sevourane and intravenous propofol. Methods:The study was conducted in 60 eligible adult patients undergoing general anesthesia for short surgical procedures in Pushpagiri Medical College and Research Centre.Group Preceived Propofol and Group S received Sevourane 8%. Consecutive subjects who satisfy inclusion criteria were randomly assigned into one of the two groups of 30 until sample sizes were achieved. I gel insertion attempted after adequate jaw relaxation. Ease of I-gel insertion assessed by a three-point scoring system. Data was analysed by SPSS software .The independent variables assessed in this study includes the drugs given and the comparison was done using unpaired t test. Results: Sevourane group took more time for induction than Propofol group .It was found that insertion time for sevourane was higher than the propofol group. The ease of I Gel insertion based on three point scale showed that in Sevourane group overall insertion conditions was excellent in 36.7% ;satisfactory in 63.3% as compared to group Propofol group which was 83.3%; 16.7% respectively. The results were statistically signicant (p<0.01). Conclusion:It can be concluded that sevourane can be considered as a safer alternative to propofol for I Gel insertion