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Comparison of Sevoflurane With Laryngeal Mask Airway Versus Propofol Infusion With Facemask for Eye Examination Under

Cynthia Karam1, Christiane Al-Haddad2, Thuraya HajAli1

  • 1The Departments of Anesthesiology.

Journal of Pediatric Ophthalmology and Strabismus
|December 2, 2025
PubMed

Insights

Propofol with an oxygen facemask offers faster operating room discharge for pediatric ophthalmic exams compared to sevoflurane with a laryngeal mask airway. This method also reduced emergence agitation in children.

Area of Science:

  • Anesthesiology
  • Pediatric Ophthalmology

Background:

  • Choosing the optimal anesthetic technique for pediatric ophthalmic examinations under anesthesia (EUA) is crucial for efficient patient throughput and safety.
  • Comparing sevoflurane with laryngeal mask airway (LMA) and propofol infusion with an oxygen facemask is important for optimizing care.

Purpose of the Study:

  • To compare the efficacy of sevoflurane with LMA versus propofol with an oxygen facemask in children undergoing ophthalmic EUAs.
  • The primary objective was to evaluate the time to operating room discharge.

Main Methods:

  • A prospective, randomized, single-blind study involving 60 children aged 1 to 6 years undergoing ophthalmic EUAs.
  • Patients were assigned to either sevoflurane with LMA or propofol with an oxygen facemask.
  • Key outcomes included operating room discharge time, induction time, and emergence agitation.

Main Results:

  • Operating room discharge time was significantly shorter with propofol (7.17 ± 3.11 min) compared to sevoflurane (9.81 ± 4.38 min) (P = .009).
  • Induction time and nonoperative time were also shorter in the propofol group.
  • Emergence agitation was more frequent in the sevoflurane group (P = .029), while ophthalmologist satisfaction and respiratory event rates were comparable.

Conclusions:

  • Propofol with an oxygen facemask is associated with shorter operating room discharge times and less emergence agitation in pediatric ophthalmic EUAs.
  • Both anesthetic techniques demonstrated high ophthalmologist satisfaction and low rates of respiratory adverse events.
Abstract

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