BACKGROUND AND AIM Airway management is the medical process of ensuring an open pathway for patient's lungs and ensuring the lungs are safe from aspiration. This study was conducted to investigate the effect of combination of low-dose Fentanyl-Midazolam premeditation on speed of insertion of laryngeal mask airway and to evaluate the laryngeal mask airway easy insertion conditions. MATERIAL AND METHODS The study was conducted in 80 patients presenting in Department of Anaesthesia.

more »

... check-up was carried out on a day before surgery. Various techniques like route of giving anaesthesia, Vital Capacity Breath (VCB) technique and LMA insertion technique were used. RESULT Maximum number of patients was in age group 36-45. In group AI (sevoflurane group) and BI (propofol group) anxiety scale score was 4-6, while in Group AII (Inhalational Sevoflurane + I.V. Midazolam + I.V. Fentanyl and BII (I.V. Propofol with Lignocaine +I.V. Midazolam + I.V. Fentanyl) it was 2-3. In patient's loss of eyelash reflex for group BII is 30 seconds, AII group 31-40 seconds. In group AI and BI, it was between 41-50 seconds. In most of the cases LMA insertion was seen in first attempt. In group BII, all patients had patent airway with LMA in the first attempt. CONCLUSION Administration of low-dose Fentanyl-Midazolam combination prior to Sevoflurane and Propofol induction decreases patient's anxiety levels and time of loss of eyelash reflex.