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Volume 13 Issue 8 (August) 2024

Original Articles

Administration of low dose rocuronium and low dose succinylcholine for ease of insertion of LMA - A prospective comparative study
Dr. Swathi T, Dr. Vidya Patil, Dr. Anusha Suntan

Background: Since laryngeal mask airway (LMA) has so many benefits over conventional facemasks and endotracheal tubes, it is a commonly used tool in airway management. It is still difficult to provide ideal circumstances for LMA insertion while preserving cardiovascular stability. This study investigates the use of succinylcholine and rocuronium at low dosages to ease the insertion of LMA during Propofol anesthesia. Methodology: 111 patients were included in the study and randomly assigned to three equal groups of 37 after receiving informed consent and approval from the institute's ethical committee. Randomly selected patients undergoing elective short general surgery procedures were given one of three medications: Propofol + placebo (saline),Propofol + low-dose rocuronium (0.1 mg/kg), Propofol + low-dose succinylcholine (0.1 mg/kg) for LMA insertion. Information was gathered regarding gagging and coughing, the number of attempts, ease of insertion, and jaw relaxation. Results: Compared to saline-placebo (40.5%), jaw relaxation was significantly better with rocuronium (86.5%) and succinylcholine (73.0%) (p=0.0005). When compared to saline-placebo (54.1%), rocuronium (94.6%) and succinylcholine (81.1%) had significantly easier insertions (p=0.0027). statistically significant difference (p=0.175) was not observed in the number of successful first attempts for rocuronium (78.4%), succinylcholine (59.5%), and saline-placebo (62.2%) among the groups. significant difference was not seen in coughing or gagging between the groups (p=0.485). Conclusion: In patients undergoing elective general surgery, the use of low-dose succinylcholine and low-dose rocuronium greatly improves the circumstances for LMA insertion during Propofol anesthesia.

 
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