Lignocaine to aid the insertion of the laryngeal mask airway with thiopentone

Cook, Tim; Seavell, C. R.; Cox, C. M.

doi:10.1111/j.1365-2044.1996.tb07899.x

Cited by 19 publications

(3 citation statements)

References 13 publications

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“…Intravenous lidocaine is known to suppress laryngeal reflexes [18,19,20] and has been used to improve conditions for laryngeal mask insertion after induction of anaesthesia with propofol [10] but has been less effective when given with thiopental [21]. In our study, lidocaine did not improve conditions for insertion or reduce propofol requirements.…”

Section: Discussioncontrasting

confidence: 65%

Midazolam reduces the dose of propofol required for induction of anaesthesia and laryngeal mask airway insertion

2001

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Section: Discussioncontrasting

confidence: 65%

Midazolam reduces the dose of propofol required for induction of anaesthesia and laryngeal mask airway insertion

2001

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“…Thiopentone alone used for LMA insertion has showed less satisfactory condition than propofol and thiopentone with lignocaine spray [ 9 ]. Lidocaine spray and intravenous administration were among various adjuvant drug used together with thiopentone for insertion of LMA to decrease adverse response [ [10] , [11] , [12] ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of thiopentone with lidocaine spray vs propofol for laryngeal mask airway insertion at tikur anbessa specialized hospital. A prospective cohort study

Belete

Misrak

Yahones

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Insertion of laryngeal mask airway (LMA) requires an adequate depth of anesthesia. Optimal insertion conditions and hemodynamic stability during LMA insertion are mainly influenced by the choice of the intravenous induction agent. Propofol was recommended as a standard induction agent for LMA insertion. Due to unavailability and cost for treatment Propofol is not easily availed, thus this study aimed at assessing the effect of thiopentone with lidocaine spray compared to Propofol on hemodynamic change and LMA insertion on the patient undergoing elective surgery. Methods Eighty-four participants were followed in a prospective cohort study based on the induction type of either thiopentone-lidocaine group (TL) or Propofol (P). Hemodynamic variables, LMA insertion condition, apneic time, and cost of treatment during the perioperative time were recorded. Data were checked for normality using the Shapiro-Wilk test. Numeric data were analyzed unpaired student's t-test or Manny Whitney test. Categorical data were analyzed by the chi-square test. A p-value ≤ 0.05 was considered a statistically significant difference. Result The comparison of data showed that a significant reduction in mean arterial blood pressure (MAP) in the Propofol group during the first 10 min. The MAP at first minute after LMA insertion was 78.4 ± 5.5 in the Propofol group compared to 81.8 ± 5.6 in thiopentone-lidocaine group p < 0.001. the mean MAP at 5th and 10th minutes after LMA insertion is also significantly lower in the Propofol group compared to the thiopentone-lidocaine group, p < 0.05. There were no statistically significant differences regarding the heart rate change and insertion conditions between the two groups. Mean apneic time was 138 ± 45.8 s in the Propofol group and 85 ± 13.8 s in thiopentone-lidocaine group p < 0.001. Thiopentone-lidocaine group had a lower treatment cost compared to the Propofol group. Conclusion Thiopentone with 10% topical Lignocaine is an alternative for the insertion of LMA to Propofol, with better hemodynamic stability and cost-effectiveness.

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“…During the study, we had the impression that LMA insertion was facilitated as pain was reduced. Rapid injection also may facilitate LMA insertion [12][13][14]. We conducted a randomized, prospective, single-blinded, placebo-controlled clinical trial to compare the frequency of pain on injection of propofol using a 4-point scale [15], and the success rate of Laryngeal Mask Airway insertion in groups including both men and women.…”

Section: Introductionmentioning

confidence: 99%

Rapid injection of propofol reduces vascular pain and facilitates Laryngeal Mask Airway insertion

Shimizu

Inomata

Tanaka

2011

Journal of Clinical Anesthesia

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Lignocaine to aid the insertion of the laryngeal mask airway with thiopentone

Abstract: Summary Conditions for insertion of a laryngeal mask airway in 90 unpremedicated

Cited by 19 publications

References 13 publications

Midazolam reduces the dose of propofol required for induction of anaesthesia and laryngeal mask airway insertion

Midazolam reduces the dose of propofol required for induction of anaesthesia and laryngeal mask airway insertion

Comparison of thiopentone with lidocaine spray vs propofol for laryngeal mask airway insertion at tikur anbessa specialized hospital. A prospective cohort study

Rapid injection of propofol reduces vascular pain and facilitates Laryngeal Mask Airway insertion

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