Year :
2020
| Month :
October
| Volume :
14
| Issue :
10
| Page :
UC01 - UC04
Full Version
Assessment of Effect of Low Dose Succinylcholine on Facilitating Insertion of Laryngeal Mask Airway- A Single-blind Randomised Study
Published: October 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44518.14081
Shivani Rao, Anjali Modak
1. Junior Resident, Department of Anaesthesia, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
2. Professor, Department of Anaesthesia, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.
Correspondence Address :
Dr. Shivani Rao,
S-12, Shalinata Girls Hostel, Jawahar Lal Nehru Medical College Campus,
Sawangi, Wardha, Maharashtra, India.
E-mail: shivaniaim4v@gmail.com
Abstract
Introduction: Laryngeal Mask Airway (LMA) insertion is often associated with complications such as gagging, laryngospasm and mobility of the head and neck while insertion. To overcome this and achieve a smooth insertion, many drugs are tried one of them is being succinylcholine.
Aim: To assess the effects of low dose succinylcholine (0.1 mg/kg) on facilitation of LMA insertion to achieve adequate conditions with fewer or no side effects.
Materials and Methods: Sixty patients of American Society of Anesthesiologists (ASA) I and II grade were posted for elective surgeries under general anaesthesia with LMA. Patients were randomly allocated into two groups of 30 each. Control group (Group C) received a bolus dose of 2 mL of 0.9% sodium chloride IV post induction. Study Group (Group S) received a bolus of succinylcholine 0.1 mg/kg diluted in 2 mL of 0.9% sodium chloride IV post induction. Following activities like jaw relaxation, coughing/gagging, head and limb movements, presence or absence of laryngospasm and duration of apnea were noted and were compared using chi-square test, while performing LMA insertion under general anaesthesia.
Results: It was found that the number of incidences of gagging (mild) and coughing (mild) in Group S was 3.33% and 0%, respectively, while it was 23.33% and 26.66% in Group C. It was found that group S had excellent insertion conditions in 94% of patients as compared to 36% of group C (p<0.001). In 93.33% of patients, LMA was inserted in 1st attempt in group S, whereas 40% of patients in group C required more than one insertion attempt and also 93.3% of patients in group S did not require excess propofol, whereas supplement doses of propofol in control group was required in 60% of patients.
Conclusion: Low dose succinylcholine provides better LMA insertion conditions with reduced number of attempts, incidences of gagging and coughing.
Keywords
Coughing, Daycare surgery, Gagging, Low dose, Postoperative myalgia, Propofol
DOI: 10.7860/JCDR/2020/44518.14081
Date of Submission: Apr 02, 2020
Date of Peer Review: May 06, 2020
Date of Acceptance: Aug 19, 2020
Date of Publishing: Oct 01, 2020
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA
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ETYMOLOGY: Author Origin
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