Haemodynamics During Induction with Sevoflurane Versus Propofol Using Laryngeal Mask Airways in Forearm Orthopaedic Surgeries in Older Children
Background: To compare the hemodynamic
changes during induction of anesthesia with
propofol and sevoflurane in children undergoing
forearm orthopedic surgeries.
Methods: In this descriptive study 60 pediatric
patients, scheduled for forearm orthopedic surgical
procedure under general anesthesia requiring LMA
insertion were included. The selected patients were
allocated into two groups; A (Propofol) and B
(Sevoflurane) of 30 each. Group A was induced with
IV Propofol 2mg/kg while Group B was induced by
sevoflurane 6-8%. Anesthetic induction was
supposedly achieved after loss of eyelash reflex.
Results: Compared with base line, both groups
showed a statistically significant decline in mean
arterial pressure after induction. Propofol group (A)
showed a larger transient decrease in MAP compared
to sevoflurane group (B) (p<0.001). There was a
statistical significant overall greater decline in MAP
and heart rate after induction with propofol when
compared with sevoflurane.
Conclusion: Sevoflurane provides slightly better
hemodynamic stability compared to propofol during