Induction for classic laryngeal mask airway insertion: Does low-dose fentanyl work?

• Main Authors: Akanksha Dutt (Author), Anjum Khan Joad (Author), Mamta Sharma (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2012-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 0970-9185; 10.4103/0970-9185.94877
• Keywords: Bronchoscopic view; fentanyl; insertion conditions; laryngeal mask airway; Anesthesiology; RD78.3-87.3; Pharmacy and materia medica; RS1-441
• Source: Journal of Anaesthesiology Clinical Pharmacology, Vol 28, Iss 2, Pp 210-213 (2012)

Background : Laryngeal mask airway (LMA) insertion requires an optimal balance of anesthesia. Propofol with different opioids is a preferred combination. Two doses of fentanyl were compared for the efficacy and side effects. Materials and Methods: 96 patients were randomly distributed into F 1 (fentanyl 1 mcg/kg) and F 2 (fentanyl 2 mcg/kg) groups. The conditions for LMA insertion, hemodynamic profile, bronchoscopic view, and incidence of sore throat were compared. Result: There was no statistically significant difference in any parameter in the two groups except for a significant fall in systolic and mean arterial pressure in F 2 group. Conclusion: Both doses of fentanyl (1 and 2 mcg/kg) provide comparable insertion conditions for LMA. Fentanyl in the lower dose provides a more stable hemodynamic profile.