الفهرس 
Introduction and aim of the workOnly 14 pages are availabe for public view
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Abstract
The study consist of 60 patients , 30 patients with LMA ,30 patients with ETT hypertensive with or without ischemic heart disease,between 30-70 years ,no pregnancy ,no obesity ,no complaint of pulmonary diseases , no risk of difficult intubation , Midazolam (4mg IM), and atropine (0.5mg IM) will be used for premedication half an hour before scheduled surgery. Patients will be monitored with pluse oximeter. Non invasive blood pressure, electrocardiography, capnography. After 5 minutes of preoxygenation, anesthesia will be induced with fentanyl (2ug/kg), preservative free lidocaine (1mg/kg), followed by propofol (2mg/kg). Atracurium besilate (0.5mg/kg) will be given to facilitate airway management insertion. In (LMA group) appropriate size LMA will be inserted, while endotracheal tube after laryngoscopy will be used in (ET group). Proper device placement will be insured with capnography and chest auscultation. Maintainance of anesthesia will be achived with isoflurane and neuromuscular blockade with increments of atracurium besilate. At the end of procedure, neostigmine (0.05mg/kg) and atropine (0.01mg/kg) will be used for reversal of neuromuscular blockade. Removal of airway management device will be after recovery of consciousness.
from this study We can detect that the LMA to be suitable and safe alternative to ETT for airway management in hypertensive , ischemic patient adult aged between 30 - 70 years ,elective ,fasted patients.