A Comparative Study Between Effects Of Ketamine And Fentanyl As Co-induction Agents With Propofol For I-Gel Insertion In Minor Surgical Procedures.

Authors

  • Jayshri Desai
  • Jayati Jain
  • Priya Kishnani

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15323

Keywords:

I-GEL insertion, ketamine, fentanyl, propofol, hemodynamic

Abstract

Background: The study aimed to compare and determine the success rate, ease of introducing I-gel and
the hemodynamic effects of two adjuvant drugs ketamine and fentanyl, when used with induction agent
propofol in minor surgical procedures.
Methodology: The study comprised of 68 patients of ASA-I & II grading of either gender, aged between 18
to 60 years undergoing minor surgical procedures. Patients were distributed into two groups.
Group K- inj. ketamine 0.5mg/kg & inj. propofol 2mg/kg
Group F- inj. fentanyl 1mcg/kg & inj. propofol 2mg/kg
Results: Both groups K and F were comparable in terms of baseline clinic-sociodemographic variables
such as age, gender, weight, ASA grade and Mallampatti grade. Attempt of insertion was more than one in
26.5% cases of group K and 8.8% cases of group F, showing statistically insignificant difference(p>0.05).
Jaw relaxation was significantly good in group F than group K (p<0.01). Incidence as well as severity
of coughing and limb movement was much higher in group K than group F (p<0.01). Overall excellent
significantly higher condition was observed. Excellent conditions seen in 85.3% and 50% cases belonging
to group F and group K respectively (p<0.01).
Mean total requirement of propofol was 124±24.56 and 110.06±18.95 in cases belonging to groups K and
group F respectively. Thus showing significant difference. Hemodynamic parameters such as heart rate(HR)
and blood pressure(BP) were significantly higher in group K than in group F following induction(p<0.01).
Conclusion: Fentanyl when used as co-induction drug with propofol provides ideal condition for I-gel
insertion, decreases total requirement of propofol & stable hemodynamic response as compared to ketamine
& propofol

Author Biographies

Jayshri Desai


Professor,  Department of Anaesthesiology, Dhiraj Hospital,
Smt.B.K.Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, An Institution Deemed to be
University, Vadodara, Gujarat, India.

Jayati Jain

Third year Resident, Department of Anaesthesiology, Dhiraj Hospital,
Smt.B.K.Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, An Institution Deemed to be
University, Vadodara, Gujarat, India.

Priya Kishnani

Assistant Professor, Department of Anaesthesiology, Dhiraj Hospital,
Smt.B.K.Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, An Institution Deemed to be
University, Vadodara, Gujarat, India

Published

2021-05-17

How to Cite

Jayshri Desai, Jayati Jain, & Priya Kishnani. (2021). A Comparative Study Between Effects Of Ketamine And Fentanyl As Co-induction Agents With Propofol For I-Gel Insertion In Minor Surgical Procedures. Indian Journal of Forensic Medicine & Toxicology, 15(3), 301-308. https://doi.org/10.37506/ijfmt.v15i3.15323