Compare the Clinical Profile of Pediatric Patients in either Deep or Awake State underSevoflurane Anaesthesia afterthe Removal of Proseal LMA
Clinical Profile of Pediatric Patients in either Deep or Awake State
Background: Infraumbilical surgeries in children are usually carried out under spontaneous inhalational technique. The advent of the LMA has ensured that such surgeries can be carried out at a lower concentration of the inhalational anaesthetic. In addition, a caudal block can be given intraoperative to decrease the anaesthetic requirement. Subjects and Methods: Two groups of 30 each by the computer. Group A (Awake Group): LMA was removed in the awake state.Group B (Deep Group): LMA was removed in the deep anaesthetized state. Anaesthesia technique: Patients were given the predetermined concentration of sevoflurane for 10 minutes depending on the group they belonged to. In the deep group patients were given sevoflurane at a concentration of 2-2.2% for 10 minutes prior to the anticipated end of surgery, while patients in the awake group were given sevoflurane at a concentration of 0.3-0.4% for 10 minutes prior to the anticipated end of surgery. Results: In the post operative period all 30 patients from the groups- deep and awake were observed during the first minute. In the second minute all 30 patients were still under observation in the deep group while in the awake group 15 patients were transferred to the recovery as they fulfilled the criteria for transfer. Hence after the third minute only patients from the deep group were left for observation in the operating room. Conclusion: LMA-ProSeal can be safely removed during awake and deep states of anaesthesia and neither is associated with an increase in the incidence of complications. Transfer time to the recovery room is however significantly less after awake removal.