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 | ||
| Authors | ||
| Sameh Ghareeb1; Adel Ali Hassan2; Tamer Ahmed Abdelmonem Abdelsalam* 1; Hani Gharib Ali1; May Elsherbiny Badr1 | ||
| 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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