ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Comparative study of outcome of general anaesthesia using intubation versus LMA in paediatric cardiac device closure interventions


    Amruta Datye , Ruta Kulkarni , Ravikant Patil
    JCDR. 2023: 2432-2436

    Abstract

    With a view to minimize the anaesthesia related risks in paediatric cardiac cases, we proposed using LMA for short period procedures. Present study was aimed to compare the outcome of using LMA as against the traditional intubation with ETT in patients undergoing general anaesthesia for paediatric device closure interventions. Material and Methods: Present study was single-center, comparative study, conducted in paediatric patients with ASD, PDA requiring device closure. Patients were randomly allocated to LMA or ETT group. Results: In present study, 30 cases were operated in each group. Gender, body weight, admission to procedure interval (days), hospital stay (days) & procedure total time (minutes) were comparable in both groups. Among ETT group majority cases required 4.5 size ETT (53.33 %) & 4/5 size ETT (23.33 % each). Among LMA group majority cases required 2 size LMA (40 %) followed by 1.5 size LMA (33.33 %) & 1 size LMA (26.67 %). Emergence time was comparable in both groups. We observed that less sevoflurane (1.5 ± 0.3 vs 1.8 ± 0.4), less propofol (22 ± 8 mg vs 58 ± 14 mg), less glycopyrrate (43 ± 13 mg vs 84 ± 31 mg), less midazolam (0.6 ± 0.2 mg vs 0.9 ± 0.3 mg) & less fentanyl (24 ± 7 mg vs 51 ± 14 mg) was required in LMA group as compared to ETT group & difference was statistically significant. We measured vitals such as pulse, systolic and diastolic blood pressures, SpO2 prior induction, at induction and every 5 mins thereafter till the end of procedure, no hemodynamic instability noted among both groups & difference was not significant statistically. Conclusion: In paediatric cardiac device closure interventions under general anaesthesia, LMA is relatively non-invasive, requires less anesthetic drugs as compared to endotracheal intubation.

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    Volume & Issue

    Volume 14 Issue 4

    Keywords

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