Low dose Atracurium for Laryngeal Mask Airway Insertion in ophthalmic Surgeries: A Randomized Controlled Study

Ghareeb, Sameh; Hassan, Adel Ali; Abdelsalam, Tamer Ahmed Abdelmonem; Ali, Hani Gharib; Badr, May Elsherbiny

doi:10.21608/ijma.2025.380897.2176

	Low dose Atracurium for Laryngeal Mask Airway Insertion in ophthalmic Surgeries: A Randomized Controlled Study
International Journal of Medical Arts
Articles in Press, Accepted Manuscript, Available Online from 29 July 2025
Document Type: Original Article
DOI: 10.21608/ijma.2025.380897.2176
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Authors
Sameh Ghareeb¹; Adel Ali Hassan ²; Tamer Ahmed Abdelmonem Abdelsalam ¹; Hani Gharib Ali¹; May Elsherbiny Badr ¹
¹Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
²Department of Anesthesia, Surgical Intensive Care, and Pain Management, Faculty of Medicine, Port Said University, Port Said, Egypt.
Abstract
Abstract Background: Adequate relaxation of jaw muscles may influence both the ease and safety of laryngeal mask airway (LMA) insertion. This study aimed to assess whether low-dose atracurium could enhance LMA insertion conditions, reduce associated complications, and stabilize hemodynamic responses in patients undergoing ophthalmic surgery under general anesthesia induced by propofol. Patients and Methods: In this prospective, randomized, double-blind study, 40 patients were allocated equally into two groups. Group A received 0.1 mg/kg intravenous atracurium, while Group B received 2 mL of normal saline. Following administration of fentanyl and propofol for anesthesia induction, variables such as insertion time, ease of placement, jaw relaxation, number of attempts, hemodynamic changes, and adverse events were recorded. Results Low-dose atracurium (0.1 mg/kg) reduced LMA insertion time (4.05 ± 0.53 vs. 5.03 ± 0.72 seconds, P < 0.001) and improved ease of insertion compared to the control group. No significant differences were found in hemodynamic parameters or postoperative sore throat. Conclusion Low-dose atracurium enhances LMA insertion conditions in ophthalmic surgery, with stable hemodynamics, making it a valuable tool for short-duration procedures.
Keywords
Keywords: Atracurium; LMA; ophthalmic surgery; airway management


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