Indian Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 63  |  Issue : 11  |  Page : 900--907

Comparative evaluation of i-gel® insertion conditions using dexmedetomidine-propofol versus fentanyl-propofol - A randomised double-blind study


Preeti Sachin Rustagi, Shalaka Sandeep Nellore, Amala Guru Kudalkar, Rashmi Sawant 
 Department of Anesthesia, Lokmanya Tilak Municipal Medical College and General Hospital College Building, 4thFloor, Sulochana Shetty Road, Sion, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Shalaka Sandeep Nellore
Department of Anaesthesia, College Building, 4th Floor, Sulochana Shetty Road, Sion, Mumbai - 400 022, Maharashtra
India

Background and Aims: i-gel® insertion necessitates adequate depth of anaesthesia to prevent laryngospasm, gagging or limb movements. We aimed to compare i-gel® insertion conditions with propofol induction after pre-treatment with dexmedetomidine or fentanyl. Methods: Eighty ASAI/II patients undergoing general anaesthesia were randomised into Groups D (n = 40) and F (n = 40). Group D received 1 μg/kg dexmedetomidine over 10 minutes followed by 5ml of 0.9%normal saline (NS) over 2 minutes. Group F received 10 ml of 0.9%NS over 10 minutes followed by fentanyl 1 μg/kg over 2 minutes. Thirty seconds after study drugs, propofol 2 mg/kg was given. Ninety seconds after propofol, i-gel® was inserted. Overall insertion conditions were assessed by Modified Scheme of Lund and Stovener. Heart-rate (HR) and mean arterial pressure (MAP) were noted at baseline, after study drug, propofol induction and 1,3,5,10 minutes after i-gel® insertion. Respiratory rate and apnoea times were recorded. Results: Insertion conditions were comparable between both groups. Moderately relaxed jaw, coughing and movement was observed in more patients of Group F. Incidence of apnoea was significantly higher (P < 0.0001) in group F (18/40) than group D (3/40).Mean duration of apnoea in group F (284.5 ± 11.19 sec) was significantly higher than group D (217.17 ± 16.48 sec). Percentage drop in MAP from baseline after propofol was more in group F (10.3%) than group D (5.6%). MAP after induction was significantly lower in group F compared to group D (P = 0.002), but similar after i-gel® insertion, 1,3,5 and 10 minutes after insertion. After propofol (P = 0.003) and i-gel® insertion (P < 0.001), HR was significantly lower with dexmedetomidine. Conclusion: Dexmedetomidine and fentanyl provide comparable conditions for i-gel® insertion with propofol.


How to cite this article:
Rustagi PS, Nellore SS, Kudalkar AG, Sawant R. Comparative evaluation of i-gel® insertion conditions using dexmedetomidine-propofol versus fentanyl-propofol - A randomised double-blind study.Indian J Anaesth 2019;63:900-907


How to cite this URL:
Rustagi PS, Nellore SS, Kudalkar AG, Sawant R. Comparative evaluation of i-gel® insertion conditions using dexmedetomidine-propofol versus fentanyl-propofol - A randomised double-blind study. Indian J Anaesth [serial online] 2019 [cited 2019 Nov 12 ];63:900-907
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=11;spage=900;epage=907;aulast=Rustagi;type=0