European Journal of Cardiovascular Medicine

Introduction: In the pediatric population, laryngeal mask airways are often used during general anesthesia as a substitute for tracheal intubation. They need fewer hemodynamic adjustments, are simpler to introduce, and are more tolerated. Since propofol suppresses cough and gag reflexes so well, it is the agent of choice for its injection. A significant hypotension and apnea may result from the dosage of propofol needed for the seamless insertion of an LMA. As a result of its centrally acting skeletal muscle relaxant action, midazolam lessens patient movements and facilitates the airway insertion of the laryngeal mask. Objectives: The objective of this study is to assess the efficacy of midazolam in facilitating the placement of a laryngeal mask airway during propofol anesthesia in children undergoing daycare procedure. Methodology: A prospective cross-sectional study was conducted on 38 children between ages of 3-12 yrs undergoing pediatric day care surgeries under general anaesthesia not required tracheal intubation who are allocated to one of the 2 groups (19 in each group). Group A received propofol alone and Group B received Midazolam as supplementary dose (0.04mg/kg). Results: Midazolam along with propofol provides a better condition for placement of LMA in 72.7% of children (P: 0.01). Group B patient had a better hemodynamic profile in the study with a P value <0.01. Conclusion: The study demonstrated that the combination of Midazolam and propofol provides better conditions for laryngeal mask installation compared to the use of propofol alone.