Comparison of Recovery Profile After the Use of Desflurane, Sevoflurane and Propofol in Day Care Laproscopic Surgeries
Journal Title: National Journal of Medical Research - Year 2017, Vol 7, Issue 1
Abstract
Introduction: For day care anesthesia applications the use of anesthetics that provide fast and smooth induction allow quick changes in depth while maintaining anesthesia, early recovery, less post operative nausea and vomiting, less pain and good fast track eligibility score are recommended. Given the low blood gas partition coefficient of Sevoflurane (0.69) and Desflurane (0.42) a more rapid emergence from anesthesia is expected compared with traditional inhalational agents like Isoflurane. Methodology: For the study, after permission of institutional ethical committee, 90 cases of ASA 1 and 2 physical status scheduled for laparoscopic surgery in Sterling Hospital, Ahmedabad, Gujarat were randomly divided to one of three anesthetic groups by the chit method. Total 90 adult patients of ASA I and II between the age group of 18 – 70years of either sex posted for elective daycare laparoscopic were selected for the study. They were randomly divided into three groups Group 1 received Desflurane, Group 2 received Propofol and Group 3 received Sevoflurane. Results: There were total 30 patients in each group. In group of Desflurane and group of Sevoflurane least fall in blood pressure than group of Propofol. So Propofol causes maximum fall in blood pressure as compare to Desflurane and Sevoflurane. Following to vaporizer turn off the immediate recovery is seen in Desflurane group of patient. While delayed eye opening seen in Propofol group of patient and intermediate eye opening seen in Sevoflurane group. Conclusion: Desflurane provides faster recovery from anesthesia in patients undergoing laparoscopic surgeries than Sevoflurane and Propofol. However all three groups were hemodynamically stable during the intraoperative period.
Authors and Affiliations
Reshma R Korat, Vimal Karagathara, Bhavin Patel
Keywords
Related Articles
- EP ID EP635139
- DOI -
- Views 106
- Downloads 0
Comparison of Recovery Profile After the Use of Desflurane, Sevoflurane and Propofol in Day Care Laproscopic Surgeries
Introduction: For day care anesthesia applications the use of anesthetics that provide fast and smooth induction allow quick changes in depth while maintaining anesthesia, early recovery, less post operative nausea and v...
Role of Percutaneous Bone Marrow Injection in Non Union of Fractures
"Introduction: In hypertrophic non union rigid fixation is needed, in atrophic non union of bone biological solution is needed either bone graft, bone growth factors, stem cells, demineralised bone matrix etc. We preferr...
Morphometric Dimensions of Human Ear Ossicles of Males
Introduction: The otologic surgeons need to be fully conversant with the anatomical details of middle ear and its bones so as to perform microsurgical maneuvers successfully. In India, data on normal anatomical parameter...
"Compartive Study of Ropivacaine versus Ropivacaine with Clonidine for Caudal Analgesia in Paediatric Age Group Among Lower Abdominal and Lower Limb Surgery"
"Introduction: Clonidine, an a2 adrenergic agonist, prolongs analgesia without significant respiratory depression. The analgesic action of epidurally-administered clonidine is due to stimulation of descending noradrenerg...
Effect Of Oral Clonidine And Oral Gabapentine As Premedication On Hemodynamic Stress Responses During Laryngoscopy And Tracheal Intubation And Duration Of Post Operative Analgesia
"Introduction: Direct laryngoscopy and passage of endotracheal tube are noxious stimuli that can provoke stress response in cardiovascular, respiratory and other physiological systems. This study was planned to evaluate...