Laryngeal mask versus endotracheal intubation in paediatric anaesthesia

This study was carried out to assess the insertion of the LMA and to compare its use with the side effects associated with insertion of the ETT in 60 children scheduled for different surgical procedures. They were divided into two groups, the LMA group and the ETT group, each included 30 patients of both sexes. In 27 children, the LMA provided good airway and in two children, more than one attempt was needed. The LMA was tolerated at a lighter level of anesthesia than ETT with less sore throat in LMA. It was concluded that LMA was an effective, safe device for maintaining a clear airway during pediatric anesthesia. The advantages of LMA over ETT included the avoidances of risk of endobronchial or esophageal intubation and it caused less trauma, sore throat and laryngospasm than ETT

Effect of rocuronium compared with succinylcholine on intraocular pressure during rapid sequence induction of anaesthesia

In this work, the effect of rocuronium and succinylcholine on IOP during rapid sequence induction of anesthesia using propofol and fentanyl were studied in 40 ASA grade I adult patients of both sexes who required tracheal intubation as a part of the anesthetic technique for elective non-ophthalmic surgery. The patients were divided into two groups, each of 20 patients. Anesthesia was induced by fentanyl mug/kg and a sleep dose of propofol until loss of verbal response. It was found that IOP in the succinylcholine group was significantly greater than that in the rocuronium group. Intubating conditions were equally good in both groups. The results confirmed that with a rapid sequence induction of anesthesia using propofol and fentanyl, rocuronium did not cause an increase in IOP and provided excellent to good intubating conditions in a dose of 0.9 mg/kg at 60 s after administration