What is it about?
While instituting anaesthesia to a patient opioids are given along with induction agent .This leads to respiration depression and decrease in percentage oxygen saturation of haemoglobin and therefore tissues are also deprived of adequqte oxygen ;a condition known as hypoxemia and hypoxia.To prevent this patient's airway is secured with many devices ,one such is laryngeal mask airway and connected to anaesthesia machine.Via this maintenance anaesthesia and oxygen is delivered to patient and thus patient's airway is controlled.But securing airway this way can lead to hypertension and increased heart rate which can be deleterious at times.To minimise these hemodynamic response variou opioids are being suggested to combine with main anaesthetics.In this study we have used opioids like fentanyl and butorphanol with propofol as induction agent and studied the cardiovascular stress response.
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Why is it important?
The highlight here is the use of butorphanol as opioid .As fentanyl comes under narcotic act and needs special licence to make it available and also it is costly as compared to butorpnanol,we studied regarding feasibility of butorphanol as an alternative to fentanyl for coinduction with propofol
Perspectives
Butorphanol should be considered as an alternative to fentanyl.propofol-butorphanol combination are better than propofol-fentanyl combination in maintaning haemodynamic stability
Dr manisha bhatt dwivedi
mmimsr ,mullana,ambala
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This page is a summary of: What happens to the hemodynamic responses for laryngeal mask airway insertion when we supplement propofol with butorphanol or fentanyl for induction of anesthesia: A comparative assessment and critical review, International Journal of Critical Illness and Injury Science, January 2016, Medknow,
DOI: 10.4103/2229-5151.177369.
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