Comparison of Insertion Characteristics and Hemodynamic Changes of Halothane + Propofol versus Sevoflurane + Propofol using I-Gel in Children Undergoing Short Surgical Procedures

Background: Goals of pediatric anesthesia for short surgical procedures are fast emergence and smooth recovery. Aim was to compare halothane + propofol and sevoflurane + propofol in pediatric patients undergoing short surgical procedures using I-Gel. Materials and Methods: In a double-blind study, 80 patients of 3-10 years were premedicated with injection. Atropine and midazolam spray and were randomly divided into two groups of forty each. In Group A, induction was done with 50% oxygen + 50% nitrous oxide + 0.5% halothane followed by stepwise increase by 0.5% till loss of eyelash reflex. At centralization of pupil, intravenous cannulation was done, injection. Propofol was given and I-Gel was inserted. Maintenance was done with 1-2% halothane + nitrous oxide + oxygen and propofol infusion. Similar technique was used in Group B except for induction was done with 1% sevoflurane followed by stepwise increase by 1% and maintenance with 1-2%. Both groups were compared for induction, insertion conditions for I-Gel, hemodynamics, and emergence. Results: Induction was more rapid in Group B as time for loss of eyelash reflex and centralization of pupil was significantly less in Group B (73.90 ± 6.830 and 170.33 ± 4.751 s) as compared to Group A (112.13 ± 5.661 and 249.33 ± 6.472 s). Insertion conditions for I-Gel were excellent. Induction time was significantly less in Group B as compared to Group A. Heart rate and blood pressure was on lower side in Group A as compared to Group B. Emergence was significantly more rapid in Group B. No side effect or complication was noted in both groups. Parametric data was analyzed using unpaired t-test and non-parametric data with “Chi-square” test. P value was determined to evaluate the levels of significance.