Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy
Background: Supraglottic airway devices are crucial in pediatric anesthesia for their ease of use, reduced trauma, and minimal hemodynamic disturbance. The I-gel device offers a secure airway seal without the need for an inflatable cuff, making it ideal for pediatric patients by minimizing airway tr...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2025-02-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4296 |
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| author | Harshita Singh Harpreet Kaur Shirin Parveen Narendra Singh Bafila Kirtika Yadav Anam Rizwan Dhruvraj Singh |
| author_facet | Harshita Singh Harpreet Kaur Shirin Parveen Narendra Singh Bafila Kirtika Yadav Anam Rizwan Dhruvraj Singh |
| author_sort | Harshita Singh |
| collection | DOAJ |
| description | Background: Supraglottic airway devices are crucial in pediatric anesthesia for their ease of use, reduced trauma, and minimal hemodynamic disturbance. The I-gel device offers a secure airway seal without the need for an inflatable cuff, making it ideal for pediatric patients by minimizing airway trauma and postoperative sore throat.
Aims and Objectives: The study was conducted to compare the induction characteristics of Propofol and Sevoflurane for I-gel insertion in pediatric patients. The primary objectives were to assess the ease of induction and hemodynamic changes. The secondary objective was to note complications such as laryngospasm, coughing, biting, and gagging with Sevoflurane and Propofol induction.
Materials and Methods: The prospective observational study included 66 children aged 6 months–8 years with American society of anesthesiologists physical status I and II, scheduled for elective herniotomy. Participants were randomly divided into two groups. Group 1 was induced with Sevoflurane (4–6%), while Group 2 received intravenous Propofol (2.5 mg/kg). Induction ease, hemodynamic changes, and complications were assessed.
Results: Demographic characteristics, such as age and sex, were comparable across both groups. Mean times to loss of eyelash reflex, jaw relaxation, and I-gel insertion were significantly shorter in Group 2 (Propofol) than in Group 1 (Sevoflurane) (P<0.001). Heart rate showed no significant differences between the groups (P>0.05). Mean arterial pressure was significantly lower in Group 2 at 5- and 10-min post-induction. The first attempt success rate was higher in Group 2, though not statistically significant (P=0.073). Group 1 exhibited a higher incidence of laryngospasm (P=0.010).
Conclusion: Propofol demonstrates superior induction characteristics for I-gel insertion in pediatric patients, offering shorter induction times and fewer complications compared to Sevoflurane. Future research could explore the long-term outcomes and broader applications of these findings in diverse pediatric populations. |
| format | Article |
| id | doaj-art-786aa9ace54145fda3d5bc1d3470431d |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-786aa9ace54145fda3d5bc1d3470431d2025-02-01T08:08:59ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-02-011622530https://doi.org/10.71152/ajms.v16i2.4296Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomyHarshita Singh 0https://orcid.org/0009-0004-4761-4533Harpreet Kaur 1https://orcid.org/0000-0001-6865-747XShirin Parveen 2https://orcid.org/0000-0002-4052-412XNarendra Singh Bafila 3https://orcid.org/0009-0003-6687-929XKirtika Yadav 4https://orcid.org/0000-0001-6288-0099Anam Rizwan 5https://orcid.org/0009-0007-7647-0788Dhruvraj Singh 6https://orcid.org/0000-0001-5794-9119Postgraduate Resident, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Assistant Professor, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Associate Professor, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Assistant Professor, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Assistant Professor, Department of Anaesthesiology, King Georges Medical University, Lucknow, Uttar Pradesh, India Postgraduate Resident, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Postgraduate Resident, Department of Anaesthesiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India Background: Supraglottic airway devices are crucial in pediatric anesthesia for their ease of use, reduced trauma, and minimal hemodynamic disturbance. The I-gel device offers a secure airway seal without the need for an inflatable cuff, making it ideal for pediatric patients by minimizing airway trauma and postoperative sore throat. Aims and Objectives: The study was conducted to compare the induction characteristics of Propofol and Sevoflurane for I-gel insertion in pediatric patients. The primary objectives were to assess the ease of induction and hemodynamic changes. The secondary objective was to note complications such as laryngospasm, coughing, biting, and gagging with Sevoflurane and Propofol induction. Materials and Methods: The prospective observational study included 66 children aged 6 months–8 years with American society of anesthesiologists physical status I and II, scheduled for elective herniotomy. Participants were randomly divided into two groups. Group 1 was induced with Sevoflurane (4–6%), while Group 2 received intravenous Propofol (2.5 mg/kg). Induction ease, hemodynamic changes, and complications were assessed. Results: Demographic characteristics, such as age and sex, were comparable across both groups. Mean times to loss of eyelash reflex, jaw relaxation, and I-gel insertion were significantly shorter in Group 2 (Propofol) than in Group 1 (Sevoflurane) (P<0.001). Heart rate showed no significant differences between the groups (P>0.05). Mean arterial pressure was significantly lower in Group 2 at 5- and 10-min post-induction. The first attempt success rate was higher in Group 2, though not statistically significant (P=0.073). Group 1 exhibited a higher incidence of laryngospasm (P=0.010). Conclusion: Propofol demonstrates superior induction characteristics for I-gel insertion in pediatric patients, offering shorter induction times and fewer complications compared to Sevoflurane. Future research could explore the long-term outcomes and broader applications of these findings in diverse pediatric populations.https://ajmsjournal.info/index.php/AJMS/article/view/4296i-gel; propofol; sevoflurane; inguinal herniotomy; induction characteristics; hemodynamic changes |
| spellingShingle | Harshita Singh Harpreet Kaur Shirin Parveen Narendra Singh Bafila Kirtika Yadav Anam Rizwan Dhruvraj Singh Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy Asian Journal of Medical Sciences i-gel; propofol; sevoflurane; inguinal herniotomy; induction characteristics; hemodynamic changes |
| title | Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy |
| title_full | Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy |
| title_fullStr | Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy |
| title_full_unstemmed | Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy |
| title_short | Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy |
| title_sort | comparison between sevoflurane and propofol induction in i gel insertion in pediatric patients undergoing inguinal herniotomy |
| topic | i-gel; propofol; sevoflurane; inguinal herniotomy; induction characteristics; hemodynamic changes |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4296 |
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