Efficiency of mini-dose succinylcholine application and itseffect on facilitating laryngeal mask airway insertion in elderly patients at operating room Kalasin hospital
Abstract
Objective : To evaluate the effects of mini dose succinylcholine(0.1mg/kg) on facilitation of laryngeal mask airway insertion in order to achieve more success insertion and less complications.
Methods : in a randomized control trial, 44 patients, ASA 1,2 aged over 70 years scheduled for surgical procedures were included and choice of anesthesia was general anesthesia underwent LMA. Twenty two patients received succinylcholine(group S) after propofol induction, and twenty two received 0.9% sodium chloride as a placebo(group C)
Result : first successful attempt of LMA insertion were achieved in 100% in group S and 68.2% in group C (p=0.009)there were no difference between two group in jaw relaxation, cough and gaging, head and limb movement, overall assessment, propofol consumption, hemodynamics disturbance and sore throat. There was no laryngospasm occurred, butmild myalgia occurred in 40.1% of patient in group C in comparison with 22.7% in group S (p=0.332)
Conclusion : The combination of propofol with mini-dose succinylcholine, provided a significantly better method for LMA insertion in elderly patients inincreasingfirst attempt LMA insertion success rate, while not increase in complications.
Keywords : efficiency, mini-dose succinylcholine, LMA, elderly
References
Sandip Roy Basunia, Kasturi Mukherjee, SejutiSenDutta, Subrata Kumar Biswas, Souradeep Ray, ParthajitMandal, MadhuriRanjanaBiswas, Subrata Kumar Mandal. A comparative Evaluation of Midazolam-Thiopentone with Propofol on Laryngeal Mask Airway Insertion Condition. Journal of Evolution of Medical and Dental Sciences 2014; Vol.3, Issue 43, September 11; Page: 10643-10651, DOI: 10.14260/jmeds/2014/3386
Hassan RazaRehman, Isfia Hassan, TabishHussain, Asifa Anwar Mir, Mehmood Ahmed Zahid. Comparison of propofol and sevoflurane for laryngeal mask airway insertion during elective surgeries. Rawal Medical Journal: vol.40.No.2,April-June 2015;187-190
Benjamin P Caughlin, Bharat Bhushan and John Maddalozzo. Laryngeal mask airway versus endotracheal tube intubation for repairing of nasal bone fracture: A 7 year single institution case – control study: surgery: current research.2015;5(2):1000223
Vanilla Chopra, Vikas Gupta, Abdul Qayoom Lone, Imtiaz A Naqash. Comparison of haemodynamic changes in response to endotracheal intubation and laryngeal mask airway in controlled hypertensive patients- A randomized study: Jmeds.com.2017;6(17):1313-1316
YasmeenAfridi, Naheed Fatima, Suresh Kumar, Khawaja Kamal Nasir. Laryngeal mask airway placement: A comparison between propofol and thiopentone sodium in the day case surgery. Pak J Public Health Vol. 6, No. 4, 2016:31-35
HamzehHosseinzadeh, Samad EJ Golzari, EffatTorabi, MarjanDehdilani. Hemodynamic changes following anesthesia induction and LMA insertion with propofol, Etomidate, and propofol+etomidate. Journal of cardiovascular and thoracic research,2013,5(3), 109-112
SobhaSukumaraPilai, JamunaraniJagadamma. Comparative evaluation of fentanyl versus butorphanol during induction with propofol on LMA insertion conditions. J. Evolution Med. Dent. Sci./eISSN-vol 6(19) Mar. O6, 2017
SivaramakrishnanDhamotharan, NongthombamRatan Singh, SanasamSarat Singh, MaisnamBrajagopal Singh. Comparative evaluation of fentanyl and midazolam with propofol induction on laryngeal airway insertion conditions: A study. Journal of medical society/Sep-Dec 2014/Vol 28(3) 1853189
MdEnayetKarim, Md Abdul Hye, Md. NazmulAhsan, MdMoinulHaqueChowdhury, et al. A comparative study of induction characteristics of thiopentone, midazolam and propofol in elderly patients. JBSA 2013; 26(1):5-11
Adam T. Phillips, MD; Stacie Deiner, et al. Propofol use in the elderly population: Prevalence of overdose and association with 30-Day mortality. Clinical therapeutics/volume 37, Number 12, 2015
Masaya Nonaka, TakujiGotoda, et al. Safety of gastroenterologist-Guided sedation with propofol for upper gastrointestinal therapeutic endoscopy in elderly patients compared with younger patients. Gut and liver, vol 9,No 1, January 2015.38-42
Joseph Heng, B.S. Gladys Rodringuez, B.S. ShamsuddinAkhtar.M.D. Intravenous induction dosing in the elderly: Need for improvement. Anesthesiology.org, October 13,2014
Pennapa A. Comparison of propofol and propofol/thiopentone admixture for proseal insertion. Thai journal of anesthesiology, volume 40, no 2 Arpil-June 2014;107-115
Shanmugasundaram P. Balasubramniam S, et al. Comparative study on conditions for LMA insertion with two different low doses of succinylcholine following thiopentone induction. Jemds.com, 2017;6(22): 1767-1771
Dawood A, Mahmood E, et al. Assessment of mini-dose succinylcholine effect on facilitating laryngeal mask airway insertion. Journal of cardiovascular and thoracic research,2013,5(1),17-21
Gunaseelan S, R Krishna Prabu. Comparison of two doses of succinylcholine to facilitate the laryngeal mask airway insertion under propofolanesthesia in adult patients undergoing elective minor surgical procedures. Asian Journal of medical Sciences. Jul-Aug 2017;8(4)21-26
Rajamani J, Iswaran Chandra T. Comparison of midazolam and mini dose succinylcholine in aiding LMA insertion in adult elective surgery patients- A randomized clinical trial in GVMC. Jemds.com, 5(99)Dec 12,2016.page 7234-7240
Shilpin S, Nayna S. Comparison of propofol versus propofol with low dose
scoline to evaluate LMA insertion. Indian journal of clinical anaesthesia, April-June 2015;2(2):97-101
Alan His-Wen Liao, Yu-Cih Lin, et al. Optimal dose of succinylcholine for laryngeal mask airway insertion: systematic review, meta-analysis and metaregression of randomized control trials. BM, October 30,2017
Girish P Joshi, Optimal general anesthetic technique for enhanced recovery after surgery. Anesthesia newsletter, issue 01
Jamil SN, Singhal V, Habib SK. The Effect of mini dose suxamethonium to facilitate Laryngeal Mask Airway Insertion UnderPropofol Anesthesia. Rawal Medical Journal 2010;35;2-5.
ParhizgarKh, Afridi Y. comparison between Propofol and thiopentone sodium for laryngeal mask airway insertion in day case surgery. JPMI 2008:22:238-242.
Monem A, Khan FA. Laryngeal mask airway insertion anesthesia and insertion techniques. J Pak Med Assoc 2007;57:607-611.
Korula S, Abraham V, Afzal L. Evaluation of low dose succinylecholine for insertion of laryngeal mask airway during thiopental induction: A comparision with atracurium. J AnesthclinPharmacol 2010;26;355359
Ho KM,Chui PT. The use of mini dose suxamethonium to facilitate the insertion of laryngeal mask airway. Anesth 1999;54:683-689.
นฤนาท โลมะรัตน์. การบริหารยาระงับความรู้สึกสำหรับผู้สูงอายุ. ใน: อังกาบ ปราการรัตน์, บรรณาธิการ. ตำราวิสัญญี
วิทยา. ครั้งที่ 4. กรุงเทพ:เอ-พลัสพริ้น;
2556. หน้า 557-67.
Hassan RazaRehman, Isfia Hassan, TabishHussain, Asifa Anwar Mir, Mehmood Ahmed Zahid. Comparison of propofol and sevoflurane for laryngeal mask airway insertion during elective surgeries. Rawal Medical Journal: vol.40.No.2,April-June 2015;187-190
Benjamin P Caughlin, Bharat Bhushan and John Maddalozzo. Laryngeal mask airway versus endotracheal tube intubation for repairing of nasal bone fracture: A 7 year single institution case – control study: surgery: current research.2015;5(2):1000223
Vanilla Chopra, Vikas Gupta, Abdul Qayoom Lone, Imtiaz A Naqash. Comparison of haemodynamic changes in response to endotracheal intubation and laryngeal mask airway in controlled hypertensive patients- A randomized study: Jmeds.com.2017;6(17):1313-1316
YasmeenAfridi, Naheed Fatima, Suresh Kumar, Khawaja Kamal Nasir. Laryngeal mask airway placement: A comparison between propofol and thiopentone sodium in the day case surgery. Pak J Public Health Vol. 6, No. 4, 2016:31-35
HamzehHosseinzadeh, Samad EJ Golzari, EffatTorabi, MarjanDehdilani. Hemodynamic changes following anesthesia induction and LMA insertion with propofol, Etomidate, and propofol+etomidate. Journal of cardiovascular and thoracic research,2013,5(3), 109-112
SobhaSukumaraPilai, JamunaraniJagadamma. Comparative evaluation of fentanyl versus butorphanol during induction with propofol on LMA insertion conditions. J. Evolution Med. Dent. Sci./eISSN-vol 6(19) Mar. O6, 2017
SivaramakrishnanDhamotharan, NongthombamRatan Singh, SanasamSarat Singh, MaisnamBrajagopal Singh. Comparative evaluation of fentanyl and midazolam with propofol induction on laryngeal airway insertion conditions: A study. Journal of medical society/Sep-Dec 2014/Vol 28(3) 1853189
MdEnayetKarim, Md Abdul Hye, Md. NazmulAhsan, MdMoinulHaqueChowdhury, et al. A comparative study of induction characteristics of thiopentone, midazolam and propofol in elderly patients. JBSA 2013; 26(1):5-11
Adam T. Phillips, MD; Stacie Deiner, et al. Propofol use in the elderly population: Prevalence of overdose and association with 30-Day mortality. Clinical therapeutics/volume 37, Number 12, 2015
Masaya Nonaka, TakujiGotoda, et al. Safety of gastroenterologist-Guided sedation with propofol for upper gastrointestinal therapeutic endoscopy in elderly patients compared with younger patients. Gut and liver, vol 9,No 1, January 2015.38-42
Joseph Heng, B.S. Gladys Rodringuez, B.S. ShamsuddinAkhtar.M.D. Intravenous induction dosing in the elderly: Need for improvement. Anesthesiology.org, October 13,2014
Pennapa A. Comparison of propofol and propofol/thiopentone admixture for proseal insertion. Thai journal of anesthesiology, volume 40, no 2 Arpil-June 2014;107-115
Shanmugasundaram P. Balasubramniam S, et al. Comparative study on conditions for LMA insertion with two different low doses of succinylcholine following thiopentone induction. Jemds.com, 2017;6(22): 1767-1771
Dawood A, Mahmood E, et al. Assessment of mini-dose succinylcholine effect on facilitating laryngeal mask airway insertion. Journal of cardiovascular and thoracic research,2013,5(1),17-21
Gunaseelan S, R Krishna Prabu. Comparison of two doses of succinylcholine to facilitate the laryngeal mask airway insertion under propofolanesthesia in adult patients undergoing elective minor surgical procedures. Asian Journal of medical Sciences. Jul-Aug 2017;8(4)21-26
Rajamani J, Iswaran Chandra T. Comparison of midazolam and mini dose succinylcholine in aiding LMA insertion in adult elective surgery patients- A randomized clinical trial in GVMC. Jemds.com, 5(99)Dec 12,2016.page 7234-7240
Shilpin S, Nayna S. Comparison of propofol versus propofol with low dose
scoline to evaluate LMA insertion. Indian journal of clinical anaesthesia, April-June 2015;2(2):97-101
Alan His-Wen Liao, Yu-Cih Lin, et al. Optimal dose of succinylcholine for laryngeal mask airway insertion: systematic review, meta-analysis and metaregression of randomized control trials. BM, October 30,2017
Girish P Joshi, Optimal general anesthetic technique for enhanced recovery after surgery. Anesthesia newsletter, issue 01
Jamil SN, Singhal V, Habib SK. The Effect of mini dose suxamethonium to facilitate Laryngeal Mask Airway Insertion UnderPropofol Anesthesia. Rawal Medical Journal 2010;35;2-5.
ParhizgarKh, Afridi Y. comparison between Propofol and thiopentone sodium for laryngeal mask airway insertion in day case surgery. JPMI 2008:22:238-242.
Monem A, Khan FA. Laryngeal mask airway insertion anesthesia and insertion techniques. J Pak Med Assoc 2007;57:607-611.
Korula S, Abraham V, Afzal L. Evaluation of low dose succinylecholine for insertion of laryngeal mask airway during thiopental induction: A comparision with atracurium. J AnesthclinPharmacol 2010;26;355359
Ho KM,Chui PT. The use of mini dose suxamethonium to facilitate the insertion of laryngeal mask airway. Anesth 1999;54:683-689.
นฤนาท โลมะรัตน์. การบริหารยาระงับความรู้สึกสำหรับผู้สูงอายุ. ใน: อังกาบ ปราการรัตน์, บรรณาธิการ. ตำราวิสัญญี
วิทยา. ครั้งที่ 4. กรุงเทพ:เอ-พลัสพริ้น;
2556. หน้า 557-67.
Downloads
Published
2019-07-11
How to Cite
เหง้าเกษ ก. (2019). Efficiency of mini-dose succinylcholine application and itseffect on facilitating laryngeal mask airway insertion in elderly patients at operating room Kalasin hospital. Mahasarakham Hospital Journal, 16(1), 53–62. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/202669
Issue
Section
Articles
License
วารสารนี้เป็นลิขสิทธิ์ของโรงพยาบาลมหาสารคาม
