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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-06
Comparison of Dexmedetomidine – Propofol and Clonidine – Propofol for ease of Insertion of Laryngeal Mask Airway
Shanthan Kumar Repalle, Rakam Kalyan
Published: June 30, 2017 | 156 141
DOI: 10.36347/sjams.2017.v05i06.023
Pages: 2154-2159
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Abstract
It is a common practice to use a Laryngeal mask for administration of anaesthetic and ventilation gases to patients. It has advantages over endotracheal tubes which are longer and seal the trachea below the vocal folds. However sometimes laryngeal mask airways can cause trauma to laryngeal walls. The aim is to compare the efficacy of Dexmedetomidine – Propofol combination and Clonidine – Propofol combination for LMA insertion in terms of Ease of insertion and Haemodynamic responses to LMA insertion. The study was conducted in MGM Hospital 60 patients aged between 20 and 50 years belonging to ASA I-II category with MPG grade I and II who were scheduled for short elective surgeries. Patients were divided into 2 groups randomly: Dp (Dexmedetomidine) or Cp (Clonidine) with 30 patients in each group. After pre-oxygenation for 3 minutes with 100% O2 on mask, group Dp received 1µg/kg dexmedetomidine and group Cp received 1µg/kg of Clonidine diluted in 10ml normal saline respectively, i.v over 10 minutes. Thirty seconds later, patients were induced with intravenous injection of propofol 2.5mg/kg mixed with 1 ml of 2% lignocaine. 90 sec after propofol bolus, first attempt at insertion of LMA was made.