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Efficacy of Low-dose Succinylcholine and Low-dose Atracurium in Facilitating I-gel Insertion: A Randomised Comparative Study

Manjunath AC , Priya Mitali , Manjunath AC. , Suresh G.

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Indian Journal of Anesthesia and Analgesia 6(6):p 2163-2167, November-December 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.45

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Priya Mitali, Manjunath AC, Suresh G. Efficacy of Low-dose Succinylcholine and Low-dose Atracurium in Facilitating I-gel Insertion: A Randomised Comparative Study. Indian J Anesth Analg. 2019;6(6 Part - II):2163-2167.

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Abstract

Background: I-gel is being commonly used for safe day care surgeries in today’s fast pace world. Muscle relaxants even in low-doses are superior to other agents in facilitating smooth I-gel insertion. Aims and Objectives: The present study, aims to compare I-gel insertion conditions with low-dose succinylcholine and low-dose atracurium by assessing jaw relaxation, ease of insertion, hemodynamic changes and complications. Materials and Methods: Randomised comparative study conducted on 86 patients of ASA physical status I and II divided into 2 Groups of 43 each by random number tables. Group S received 0.2 mg/kg of succinylcholine and Group A received 0.1 mg/kg of atracurium. I-gel was inserted by a single investigator and jaw relaxation, insertion conditions and complications were observed. Results: Jaw relaxation was comparable in 2 Groups (93.0% had full jaw relaxation in Group A while 97.7% had full jaw relaxation in Group S) with no statistically significant difference. Group A had better ease of insertion than Group S, although difference was not statistically significant (p = 1.00). Hemodynamic response was similar in both the Groups. Post-operative myalgia was seen in 1 subject in Group S (2.3%), and sore throat in 1 subject in Group A (2.3%), statistically being insignificant. Conclusion: Both low-dose succinylcholine and low-dose atracurium provide good insertion conditions for I-gel. Low-dose atracurium (0.1 mg/kg) is equally effective as low-dose succinylcholine (0.2 mg/kg) for I-gel insertion.

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Priya Mitali, Manjunath AC, Suresh G. Efficacy of Low-dose Succinylcholine and Low-dose Atracurium in Facilitating I-gel Insertion: A Randomised Comparative Study. Indian J Anesth Analg. 2019;6(6 Part - II):2163-2167.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.45

Keywords

I-gel; Low-dose succinylcholine; Low-dose atracurium; Insertion conditions.

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