Low Dose Succinylcholine to Facilitate Laryngeal Mask Airway Insertion

Abstract

Laryngeal mask airway (LMA) insertion is a widely accepted technique for airway management in various surgical and non-surgical settings. However, achieving optimal insertion conditions without excessive coughing, gagging, or patient movement remains a challenge. This study evaluates the efficacy of low-dose succinylcholine in facilitating LMA insertion, reducing airway trauma, and minimizing hemodynamic fluctuations. A total of 100 adult patients undergoing elective surgeries under general anesthesia were randomized into two groups: one receiving 0.1 mg/kg succinylcholine and the other receiving a placebo. The primary outcomes assessed were ease of insertion, airway reflex suppression, and hemodynamic stability. Results demonstrated that low-dose succinylcholine significantly improved insertion conditions with minimal adverse effects. This study suggests that using low-dose succinylcholine can enhance LMA placement efficiency, improve patient comfort, and reduce the need for additional airway manipulation.

Keywords: Succinylcholine, Laryngeal Mask Airway, Airway Management, Muscle Relaxants, Anesthesia, Hemodynamic Stability.