A Cross Sectional Study on Comparing the Effects of Sevofluraneand Desfluranein Adult Patients Undergoing General Anesthesia with Laryngeal Mask Airway

Abstract

The Laryngeal Mask Airway (LMA) lowers the incidence of postoperative morbidity, associated with the insertion of endotracheal tube. Sevoflurane and desflurane are volatile anesthetic agents that are commonly used in general anesthesia procedure in adult patients. Desflurane has low solubility in blood which enables the rapid awakening of patients. Desflurane, faster emergence compared to sevoflurane. Sevoflurane, an inhalational anesthetic agent with less pungency and non-irritant odor which rapidly and conveniently administered without discomfort. Because of the low solubility, Sevoflurane facilitates a good control over the depth of anesthesia also provides a rapid smooth induction and emergence from general anesthesia. To evaluate the effects of sevoflurane and desflurane in adult patients undergoing general anaesthesia with laryngeal mask airway. In this study, totally 60 patients involving ASA I and ASA II at the age between 18 to 60 years who are scheduled for elective surgical producers under general anesthesia with Laryngeal  MaskAirway. Patient under general anesthesia receiving sevoflurane with LMA were grouped as Group S and patients receiving desflurane with LMA were grouped as Group D. The emergence time was significantly shorter in Group D (4.5 ± 1.2 minutes) compared to Group S (7.8 ± 1.5 minutes) (p < 0.01). Hemodynamic stability was comparable between groups, with no significant differences in mean arterial pressure or heart rate during maintenance. However, Group D had a higher incidence of postoperative coughing (4/15) compared to Group S (1/15). No laryngospasm was observed in either group. Desflurane allows faster emergence from anaesthesia compared to Sevoflurane, making it advantageous in settings requiring rapid recovery. However, its higher association with coughing suggests careful consideration in patients at risk for airway irritation.