Comparison of fast propofol bolus injection with conventional propofol & sevoflurane administration during anaesthesia induction for ease and proper placement of proseal lma in paediatric patients undergoing elective surgery

This study aims to compare the fast bolus propofol injection anaesthesia with conventionally administeredpropofol sevoflurane anaesthesia induction for ease and proper placementof Proseal LMA in pediatrics patients undergoing elective surgery. Group A will receive fast bolus propofol injection whereas Group B will receive conventional propofol injection followed by sevoflurane.

Pre Anaesthetically, all patients will undergo medical evaluation,consent is obtained and they are kept NPO 6 to 8 hours before sugery .

Pre Operatively, baseline vitals will be recorded . Premedication includes atropine, midazolam, fentanyl, and lignocaine.

Intra Operatively, oxygen  will be administered and all monitors will be attached . Group A receives rapid IV bolus propofol. PLMA  inserted 30 sec after loss of reflexes. Group B receives slower propofol injection along with  sevoflurane and then PLMA inserted.

PLMA insertion is judged based on ease, number of attempts and adequacy of ventilation. Failed insertion after 3 attempts lead to exclusion and ETT intubation. Hemodynamic parameters and complications are recorded.

The study concluded after successfil PLMA placement, ater wihich surgery proceeds under standard general anaesthesia.