Aim: The present study highlights a comparative overview of Low Dose Succinyl Choline and Atracurium with Thiopentone induction for Insertion of Supraglottic airway device.
Background: For the past few decades, laryngeal mask airway
is being widely used to provide spontaneous as well as controlled ventilation
in patients. Hemodynamic disturbances are a part of LMA insertion However, the
insertion of LMA needs to be smooth and free from major problems and hence
various methods including low dose of succinylcholine and atracurium have been
used.
Patients and Methods: It was a prospective randomized study
conducted on 60 patients of ASA physical status I or II divided in two groups
of 30 each. Group I patients were given thiopentone 5 mg kg-1 plus
succinylcholine 0.35 mg kg-1, while group II patients were given thiopentone 5
mg kg-1 plus atracurium 0.08 mg kg-1. Jaw relaxation, insertion conditions and
adverse effects were observed.
Results: Jaw relaxation and ease of insertion was slightly
better in the succinyl choline group than in the atracurium group, but the
difference did not reach statistical significance. In our study, the inserting
conditions and the ease of insertion were similar in both the groups. But
succinyl choline seems to provide better insertion conditions as there was no
coughing or gagging, and minimal patient movement in this group.
Author(s) Details:
S. Korula,
Department of Anaesthesia, Christian Medical College, Ludhiana, Punjab, India.
V. Abraham,
Department of Anaesthesia, Christian Medical College, Ludhiana, Punjab, India.
L. Afzal,
Department of Anaesthesia, Christian Medical College, Ludhiana, Punjab, India.
Please see the link here: https://stm.bookpi.org/ACPR-V8/article/view/13967
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