Dr. Sweety Bhola, Dr. Surendra Raikwar
Abstract: BACKGROUND: Laryngeal mask airway is a non invasive supraglottic device in the management of modern general anaesthesia.The purpose of this study was to compare the laryngeal mask airway insertion conditions using either propofol- nalbuphine or fentanyl as well as hemodynamic changes and sideeffects. MATERIAL METHODS: 60 patients scheduled for short surgeries were randomly allocated to receive iv either Nalbuphine or Fentanyl before induction of anesthesia with Propofol. HR and BP were measured.Assessment of LMA insertion was done using different variables.Incidence and duration of apnea were recorded. RESULT& CONCLUSION: The mean total and topup dose of propofol required was more in Group F as compare to Group N.The incidence of coughing/gagging (50 %), swallowing (46.7 %) and movement (33.3 %) was higher in the F group, which is statistically significant (P0.05) in either group.So from our study we have cocluded that addition of Nalbuphine to Propofol for LMA insertion provides excellent insertion conditions with stable hemodynamics.
Keywords: Nalbuphine, Fentanyl, Propofol, laryngeal mask airway