ResearchArticle Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient WhoUnderwentOphthalmicSurgeryatMenelikIIHospital,Addis Ababa: A Prospective Observational Study Design Mohammed Suleiman Obsa , 1 Azeb Lencha Sholla, 2 Betelhem Girma Baraki, 2 Getahun Dendir Welde , 1 Temesgen Bati Gelgelu, 3 andMeleseMelekuKuruche 4 1 Wolaita Sodo University, Anesthesia Department, Wolaita Sodo, Ethiopia 2 Addis Ababa University, Anesthesia Department, Addis Ababa, Ethiopia 3 Wolaita Sodo University, School of Public Health, Wolaita Sodo, Ethiopia 4 Wolaita Sodo University, School of Nursing, Wolaita Sodo, Ethiopia Correspondence should be addressed to Mohammed Suleiman Obsa; msuleiman43@gmail.com Received 19 February 2020; Accepted 16 March 2020; Published 1 June 2020 Academic Editor: Davide Cattano Copyright © 2020 Mohammed Suleiman Obsa et al. is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. e airway of an anesthetized child is usually maintained with an endotracheal tube or laryngeal mask airway. However, both are related with some level of pressor response which may be risky in several groups of patient. Methods. An institutional-based prospective observational study design was employed. A systematic random sampling technique was used to select study participants. Data were entered into Epi info version 7 and transported to SPSS version 20 for analysis. Normality of the data was checked using Shapiro–Wilk tests. An independent t test was used to determine the mean differences between the two groups while the paired sample t test was used to determine the mean differences within the groups. A p value of less than 0.05 was used as a cut-off point for the presence of association. Results. e changes in systolic and diastolic blood pressure were returned to baseline values at five and three minutes in both groups, respectively. However, the changes in the heart rate and mean arterial pressure returned to baseline values in five minutes in the ETT group and three minutes in the LMA group. At baseline, the difference in systolic blood pressure between the two groups was not statistically significant (p � 0.328). Conclusions. A significant hemodynamic pressor response was observed after the insertion of both LMA and ETTgroups. However, the LMA group has less hemodynamic change as compared to the ETT group. erefore, the practice of LMA insertion was strongly recommended. 1.Background Laryngeal mask airway (LMA) and endotracheal tube (ETT) intubation are among the most important artificial airway devices used at the time of general anesthesia [1]. Traditionally, ETT insertion has been recognized as the foundation of maintaining adequate airway management. LMA offers a much less invasive way of maintaining airway as it does not pass through glottis. Both are noxious stimuli which elicit transient or marked sympathetic re- sponse [2]. e increased blood pressure and heart rate occurring due to reflex sympathetic discharge from response of lar- yngotracheal stimulation may have little consequences in healthy individuals, but may be more severe or even dan- gerous in patients with hypertension, myocardial insuffi- ciency, and cardiovascular disease [3, 4]. In addition, the sudden rise in blood pressure can lead to left ventricular failure, cerebral hemorrhage, and myocardial ischaemia [5]. Many drugs and techniques have been used to attenuate pressor responses following intubation, but no single technique has gained universal acceptance. Use of LMA in Hindawi Anesthesiology Research and Practice Volume 2020, Article ID 7021641, 6 pages https://doi.org/10.1155/2020/7021641