COMPARISON OF TWO DIFFERENT DOSES OF FENTANYL WITH STANDARD DOSE OF PROPOFOL FOR EASE OF LARYNGEAL MASK AIRWAY INSERTION IN CHILDREN

Dr R Ganessan; Dr G Sivakumar

Volume : VIII, Issue : VIII, August - 2018

COMPARISON OF TWO DIFFERENT DOSES OF FENTANYL WITH STANDARD DOSE OF PROPOFOL FOR EASE OF LARYNGEAL MASK AIRWAY INSERTION IN CHILDREN

Dr R Ganessan, Dr G Sivakumar

Abstract :

Background: Laryngeal mask insertion in children is facilitated by addition of opioids withpropofol. Aim : To assess the dose of fentanyl needed for LMA insertion in children. Materials & methods: A prospective , randomised , double blind study was conducted compå two different doses of Fentanyl 1mcg/kg ( Group 1 , n=30) and 2mcg/kg ( Group 2, n= 30) with standard dose of propofol( 2.5mg/kg ) and midazolam( 0.05mg/kg) to evaluate the ease of Laryngeal mask( classic) insertion in children aged between 3 and 12 years.The ease of insertion , with first time success rate and adverse responses were compared . Results :Children receiving fentanyl 2 mcg/kg( group 2) had excellent conditions for LMA insertion with no adverse responses in 86.6 % ( 50% in group –1). The insertion was more successful in first attempt in group 2( 93.3 % Vs 66.6% in group1). Conclusion ; Fentanyl 2mcg/kgprovides excellent conditions for laryngeal mask insertion with high success rate of insertion in first attempt with less adverse events.