Comparison of Propofol and Ketamine with Sevoflurane for Laryngeal Mask Anesthesia for Cardiac Catheterization of Pediatric Patients

oleh: Gurpuneet S Basra, Ankur Joshi, Alok Jaiswal, Arpit Garg

Format: Article
Diterbitkan: ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES 2020-10-01

Deskripsi

Background: Sedation and anesthesia are required for procedures in pediatric patients for cardiac catheterization. In this study, we compare anesthetic agents in providing ideal anesthetic conditions with hemodynamic stability. Materials and Methods: A total of 100 patients were randomized into two groups. One group was anesthetized using propofol and ketamine and other group received inhaled sevoflurane (Sevo) as sole anesthetic. Variables were recorded and outcome was compared. Results:Sevo provided faster onset and offset times (P < 0.01), albeit with higher incidence of emergence delirium (P < 0.01) for all other variables both the groups were comparable. Conclusion: Both the groups provided essentially stable and safe anesthetic option for cardiac catheterization for pediatric patients. Sevo provided for faster induction and recovery as compared to IV anesthetics used in the study, but the recovery was complicated in the Sevo group by emergence delirium more frequently. This study failed to record any statistically significant hemodynamic variation between the two groups.