Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway
Background: Post-induction hypotension associated with various agents is well-known in adults undergoing general anesthesia for various procedures. However, this phenomenon has not been addressed well in pediatric patients. We studied the incidence of postinduction hypotension in patients 1–5 years...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2024-02-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/58634 |
| _version_ | 1797335362430828544 |
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| author | Amrina Ashraf Shafat A Mir Khalid Sofi Majid Jehangir Akbar Shah M Altaf Hussain Mir |
| author_facet | Amrina Ashraf Shafat A Mir Khalid Sofi Majid Jehangir Akbar Shah M Altaf Hussain Mir |
| author_sort | Amrina Ashraf |
| collection | DOAJ |
| description | Background: Post-induction hypotension associated with various agents is well-known in adults undergoing general anesthesia for various procedures. However, this phenomenon has not been addressed well in pediatric patients. We studied the incidence of postinduction hypotension in patients 1–5 years using inhalational induction with sevoflurane, intravenous induction with propofol, and co-induction with sevoflurane plus propofol.
Aims and Objectives: To compare three different induction techniques in children 1–5 years undergoing various infra-umbilical surgeries under general anesthesia with laryngeal mask airway using sevoflurane induction, propofol induction, and sevoflurane plus propofol co-induction.
Materials and Methods: Out of 150 patients observed in this study, 50 patients (group S) received inhalational induction with sevoflurane, 50 (group P) patients received intravenous induction with propofol, and 50 (group SP) patients received co-induction with propofol and sevoflurane.
Results: Intravenous induction with propofol resulted in maximum hemodynamic changes Inhalational induction was responsible for significant changes in heart rate whereas co-induction with propofol (1–1.5 mg/kg) and sevoflurane 5% yielded minimum hemodynamic variations with least adverse effects.
Conclusion: We conclude that co-induction with propofol (1–1.5 mg/kg) plus Sevoflurane 5% provided better hemodynamic stability with the least adverse effects. |
| first_indexed | 2024-03-08T08:36:58Z |
| format | Article |
| id | doaj.art-0f9c0bcfbb2e4057878315e1b2671659 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-08T08:36:58Z |
| publishDate | 2024-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-0f9c0bcfbb2e4057878315e1b26716592024-02-02T00:42:39ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-02-011523945https://doi.org/10.3126/ajms.v15i2.58634Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airwayAmrina Ashraf 0https://orcid.org/0009-0005-1096-6153Shafat A Mir 1https://orcid.org/0000-0001-9014-6043Khalid Sofi 2https://orcid.org/0000-0001-5735-0886Majid Jehangir 3https://orcid.org/0000-0001-5130-4889Akbar Shah M 4https://orcid.org/0000-0003-0172-8282Altaf Hussain Mir 5https://orcid.org/0009-0003-8684-1854Senior Resident, Department of Anesthesiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Associate Professor, Department of Anesthesiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Additional Professor, Department of Anesthesiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Assistant Professor, Department of Anesthesiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Additional Professor, Department of Critical Care, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Assistant Professor, Department of Anesthesiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Background: Post-induction hypotension associated with various agents is well-known in adults undergoing general anesthesia for various procedures. However, this phenomenon has not been addressed well in pediatric patients. We studied the incidence of postinduction hypotension in patients 1–5 years using inhalational induction with sevoflurane, intravenous induction with propofol, and co-induction with sevoflurane plus propofol. Aims and Objectives: To compare three different induction techniques in children 1–5 years undergoing various infra-umbilical surgeries under general anesthesia with laryngeal mask airway using sevoflurane induction, propofol induction, and sevoflurane plus propofol co-induction. Materials and Methods: Out of 150 patients observed in this study, 50 patients (group S) received inhalational induction with sevoflurane, 50 (group P) patients received intravenous induction with propofol, and 50 (group SP) patients received co-induction with propofol and sevoflurane. Results: Intravenous induction with propofol resulted in maximum hemodynamic changes Inhalational induction was responsible for significant changes in heart rate whereas co-induction with propofol (1–1.5 mg/kg) and sevoflurane 5% yielded minimum hemodynamic variations with least adverse effects. Conclusion: We conclude that co-induction with propofol (1–1.5 mg/kg) plus Sevoflurane 5% provided better hemodynamic stability with the least adverse effects.https://www.nepjol.info/index.php/AJMS/article/view/58634general anesthesia; proseal laryngeal mask airway; propofol; sevoflurane |
| spellingShingle | Amrina Ashraf Shafat A Mir Khalid Sofi Majid Jehangir Akbar Shah M Altaf Hussain Mir Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway Asian Journal of Medical Sciences general anesthesia; proseal laryngeal mask airway; propofol; sevoflurane |
| title | Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| title_full | Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| title_fullStr | Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| title_full_unstemmed | Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| title_short | Comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| title_sort | comparison of different induction techniques on hemodynamic changes in pediatric patients undergoing infra umbilical surgeries using laryngeal mask airway |
| topic | general anesthesia; proseal laryngeal mask airway; propofol; sevoflurane |
| url | https://www.nepjol.info/index.php/AJMS/article/view/58634 |
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