EVALUATION OF EASE OF INSERTION OF CLASSICAL LARYNGEAL MASK AIRWAY IN CHILDREN USING DEXMEDETOMIDINE AS CO-INDUCING AGENT WITH PROPOFOL COMPARED TO INDUCTION WITH PROPOFOLALONE.

Abstract

Background: Laryngeal mask airway (LMA), is an essential tool for anaesthesiologist's in airway management. Propofol is an induction agent of choice for LMAinsertion. However larger doses of propofol may cause haemodynamic instability. Dexmedetomidine has advantageous effects in children over propofol. Objective of our study was to determine the ease of LMA insertion following co-induction with propofol and dexmedetomidine compared to induction with propofol alone. Methods: A prospective observational study, was conducted in the department of Anaesthesiology, Assam Medical College and Hospital (AMCH), Dibrugarh, Assam from the month of January to June, 2022. In this study, 60 children of age 4-12yrs, both male and female were assigned into two groups, PD & P: 30 each. Group PD were induced with injection propofol 3mg/kg and injection dexmedetomidine 0.5mcg/kg while group P received 4mg/kg of propofol alone. LMA insertion condition, hemodynamic parameters were assessed. The data were analysed in terms of mean±standard deviation and median. Results: In group PD, the overall LMA insertion condition was statistically better with greater hemodynamic stability compared to group P(p< 0.05), with less incidence of apnea in group PD. Conclusion: In children, the combination of propofol and dexmedetomidine provide suitable LMA insertion condition and better haemodynamics