Pro Seal laryngeal mask airway (PLMA) is a new development among supraglottic airway management devices. The modified cuff and drain tube in PLMA makes it a better device over classic Laryngeal mask airway (LMA). This retrospective study was done to know the effectiveness of PLMA in gastrointestinal surgeries. Thirty adult patients of ASA I, II or III who underwent gastrointestinal surgery under general anesthesia with PLMA were reviewed. The following parameters were reviewed: hemodynamic response, ventilatory parameters, ease of gastric tube placement and adverse effects. PLMA was inserted in the first attempt in 28 out of 30 patients. The change in heart rate was 4.9%; mean increase in systolic and diastolic blood pressure after insertion of PLMA was 2% and 1.49% respectively. 100% success was achieved in Ryle's tube insertion. These parameters are comparatively low when compared with previous studies. This shows PLMA is a less invasive alternative to traditional endotracheal intubation.
Objective: The present study was conducted to evaluate the effect of these drugs on the blood pressure (BP) and pulse rate during induction of anesthesia in children undergoing full mouth rehabilitation.Methods: Data were collected from the records maintained for the children <6 years who underwent full mouth rehabilitation under general anesthesia (GA). The drugs used for induction, the changes seen in the BP, pulse rate were recorded. Statistical analysis was done using Mann-Whitney test with p<0.05, significant.
Results:Of 64 children treated under GA, 31 children were induced with propofol and by sevoflurane in the remaining 33 children. The induction time with 2 mg/kg dosage of propofol was approximately 12 seconds while it was variable with 8% sevoflurane. The mean systolic and diastolic BP and pulse rate were found to be within the normal levels under both the drugs.
Conclusion:In children, sevoflurane and propofol can be safely used for inducing anaesthesia.
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