Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study
Background: Respiratory complications during emergence from general anesthesia present serious concerns in pediatric patients. Deep extubation excludes airway stimulation under lighter planes of anesthesia, but renders the patient with an unprotected airway susceptible to aspiration and obstruction....
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Manipal College of Medical Sciences, Pokhara
2025-04-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4463 |
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| author | Nidha Rasool Raja Suhail Shounthoo Pareesa Rashid Basharat Farooq |
| author_facet | Nidha Rasool Raja Suhail Shounthoo Pareesa Rashid Basharat Farooq |
| author_sort | Nidha Rasool |
| collection | DOAJ |
| description | Background: Respiratory complications during emergence from general anesthesia present serious concerns in pediatric patients. Deep extubation excludes airway stimulation under lighter planes of anesthesia, but renders the patient with an unprotected airway susceptible to aspiration and obstruction. It is therefore desirable to prefer an anesthetic technique that would reduce the time interval between removal of airway device and patient awakening.
Aims and Objectives: The aim of this study was to compare the effects of isoflurane and sevoflurane on emergence characteristics under deeper planes of anesthesia in pediatric surgical patients.
Materials and Methods: Ninety-two pediatric patients stationed for lower abdominal surgeries were assigned into Group I, 45 patients (isoflurane) and Group II, 47 patients (sevoflurane). The patients were observed during recovery from anesthesia and various parameters recorded.
Results: Patients in Group II attained spontaneous movement earlier than Group I; (6.33±1.45 min vs. 9.01±1.37 min [P<0.05]), timing of shifting from the operating room to recovery and spontaneous eye opening was significantly shorter in Group II than in Group I; (8.63±1.51 min vs. 11.76±1.22 min [P<0.05]) and (10.25±1.52 min vs. 13.29±1.22 min [P<0.05]), respectively. However, the actual discharge readiness and time of shifting from recovery room was similar for both Group I and Group II [35.35±2.50 min vs. 34.46±2.41 min [P>0.05]).
Conclusion: Laryngeal mask airway removal under deep sevoflurane anesthesia leads to early attainment of an arousable state and return of protective airway reflexes. |
| format | Article |
| id | doaj-art-e14eade3fe294793a07e79525cd120bf |
| institution | DOAJ |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-e14eade3fe294793a07e79525cd120bf2025-08-20T02:53:37ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-04-011641318https://doi.org/10.71152/ajms.v16i4.4463Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational studyNidha Rasool 0https://orcid.org/0009-0007-3632-9114Raja Suhail Shounthoo 1https://orcid.org/0009-0008-3833-4053Pareesa Rashid 2https://orcid.org/0009-0008-5001-284XBasharat Farooq 3https://orcid.org/0000-0001-5444-9717Senior Resident, Department of Anesthesiology, Government Medical College, Srinagar, Jammu and Kashmir, India Assistant Professor, Department of Anesthesiology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Senior Resident, Department of Critical Care Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India Assistant Professor, Department of Anesthesiology, Government Medical College, Srinagar, Jammu and Kashmir, India Background: Respiratory complications during emergence from general anesthesia present serious concerns in pediatric patients. Deep extubation excludes airway stimulation under lighter planes of anesthesia, but renders the patient with an unprotected airway susceptible to aspiration and obstruction. It is therefore desirable to prefer an anesthetic technique that would reduce the time interval between removal of airway device and patient awakening. Aims and Objectives: The aim of this study was to compare the effects of isoflurane and sevoflurane on emergence characteristics under deeper planes of anesthesia in pediatric surgical patients. Materials and Methods: Ninety-two pediatric patients stationed for lower abdominal surgeries were assigned into Group I, 45 patients (isoflurane) and Group II, 47 patients (sevoflurane). The patients were observed during recovery from anesthesia and various parameters recorded. Results: Patients in Group II attained spontaneous movement earlier than Group I; (6.33±1.45 min vs. 9.01±1.37 min [P<0.05]), timing of shifting from the operating room to recovery and spontaneous eye opening was significantly shorter in Group II than in Group I; (8.63±1.51 min vs. 11.76±1.22 min [P<0.05]) and (10.25±1.52 min vs. 13.29±1.22 min [P<0.05]), respectively. However, the actual discharge readiness and time of shifting from recovery room was similar for both Group I and Group II [35.35±2.50 min vs. 34.46±2.41 min [P>0.05]). Conclusion: Laryngeal mask airway removal under deep sevoflurane anesthesia leads to early attainment of an arousable state and return of protective airway reflexes.https://ajmsjournal.info/index.php/AJMS/article/view/4463pediatric anesthesia; deep extubation; awake extubation; sevoflurane; isoflurane; airway complications |
| spellingShingle | Nidha Rasool Raja Suhail Shounthoo Pareesa Rashid Basharat Farooq Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study Asian Journal of Medical Sciences pediatric anesthesia; deep extubation; awake extubation; sevoflurane; isoflurane; airway complications |
| title | Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study |
| title_full | Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study |
| title_fullStr | Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study |
| title_full_unstemmed | Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study |
| title_short | Comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients: An observational study |
| title_sort | comparing the recovery characteristics between sevoflurane and isoflurane following removal of laryngeal mask airway under deeper planes of anesthesia in pediatric surgical patients an observational study |
| topic | pediatric anesthesia; deep extubation; awake extubation; sevoflurane; isoflurane; airway complications |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4463 |
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