A COMPARATIVE STUDY BETWEEN DEXMEDETOMIDINE WITH PROPOFOL VERSUS FENTANYL WITH PROPOFOL FOR INSERTION OF PROSEAL LARYNGEAL MASK AIRWAY IN ADULTS

Abstract

Background and Objectives: Dexmedetomidine and Fentanyl are effective adjuvants used with Propofol to assess the hemodynamic response and insertion conditions of ProSeal Laryngeal Mask Airway. This study was conducted to do a comparative analysis between these two drugs with respect to PLMA insertion conditions, hemodynamic changes and adverse effects. 80 ASA grade I and II patients were randomly allocated into two groupsMaterials and methods: receiving Dexmedetomidine with Propofol(Group D) and Fentanyl with Propofol(Group F). The size of ProSeal LMA used in this study was Size 3. PLMA insertion condition was measured according to the Muzi scoring system.Score≤2 was considered optimal for PLMA insertion. 90% in Group D whereas only 65% of the cases in Group F had fullyRESULTS: relaxed jaw (p=0.0078). Hemodynamic stability was maintained in both the groups. But the attenuation to hemodynamic responses was statistically more significant in Group D. Dexmedetomidine is a better adjuvant used withConclusion: Propofol for insertion of PLMA with better hemodynamic profile and insertion conditions than Fentanyl.