A COMPARATIVE EVALUATION OF KETAMINE-PROPOFOL VERSUS FENTANYL-PROPOFOL IN TOTAL INTRAVENOUS ANAESTHESIA- A DOUBLE BLIND RANDOMISED CLINICAL TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 54
Abstract
BACKGROUND Propofol has emerged as a gold-standard for total intravenous anaesthesia (TIVA) for short surgical interventions but lack of analgesia remains its main shortcoming, therefore it is always combined with an analgesic. Ketamine and fentanyl are the popular analgesic in this context. This study was carried out to compare these drugs with propofol to assess haemodynamic and recovery profile of either combination. Objective- To evaluate quality and compare haemodynamic variability of anaesthesia among the patients scheduled for short surgical procedures in ketamine-propofol and fentanyl-propofol groups. MATERIALS AND METHODS In this study, hundred consenting patients undergoing short elective surgeries were divided into two groups of fifty each. Group PF received propofol 2 mg/kg + fentanyl 2 μg/kg for induction and propofol 4 mg/kg/hr. + fentanyl 1 μg/kg/hr. for maintenance of anaesthesia and group PK received propofol 2 mg/kg + ketamine 1 mg/kg for induction and propofol 4 mg/kg/hr. + ketamine 1 mg/kg/hr. for maintenance of anaesthesia. Haemodynamic variables were recorded pre, intra and postoperatively at regular intervals. At the end of drug infusion(s), time to spontaneous eye opening and response to postoperative questionnaire was noted to assess recovery. All the data presented as mean + standard deviation. RESULTS Patients in both groups did not differ significantly in demographic profile and haemodynamic parameters. Time to spontaneous eye opening was similarly comparable in both the groups (8 ± 3 min. and 8 ± 2 min.) (p = 0.53). Response to postoperative questionnaire at 30 minutes after anaesthesia was good in both the groups. Incidence of postoperative nausea and vomiting was also statistically insignificant between both the groups. (p = 0.74). CONCLUSION Ketamine and fentanyl with propofol infusion for short surgical procedures are equally safe and efficacious. In both groups stable haemodynamics and good recovery profile were noted.
Authors and Affiliations
Sandhya Pandey, Suman Gupta, Bhanu Choudhary, Vibha J Sakhare
Keywords
Related Articles
- EP ID EP225805
- DOI 10.14260/Jemds/2017/884
- Views 86
- Downloads 0
RARE CASE REPORTS OF COMPLETE UTERINE SEPTUM WITH LONGITUDINAL VAGINAL SEPTUM PRESENTING AS DIDELPHIC/ UNICORNUATE UTERUS
PRESENTATION OF CASE Müllerian duct anomalies (MDA) comprise of a heterogeneous group of genital malformations accounting for an incidence of 3% - 4% in the general female population. Use of improved imaging modalities s...
STUDY OF CLINICAL AND DEMOGRAPHIC PROFILE OF OCULAR TRAUMA AND ITS EFFECT ON VISUAL OUTCOME
BACKGROUND Ocular trauma is an important preventable cause of visual morbidity, especially among younger population in developing countries. It constitutes a significant cause of monocular blindness. Aims- To study the d...
AN EVALUATION OF FURCAL PERFORATION REPAIR USING MINERAL TRIOXIDE AGGREGATE AND RESIN MODIFIED GLASS IONOMER CEMENT WITH AND WITHOUT THE USE OF OPERATING MICROSCOPE- AN IN VITRO STUDY
BACKGROUND This study evaluated in vitro the effect of using the operating microscope on repairing furcation perforations using resin modified glass ionomer cement or mineral trioxide aggregate. MATERIALS AND METHODS In...
ASSOCIATION OF THYROID FUNCTION WITH BMI, BODY FAT % AND VISCERAL FAT LEVEL IN HEALTHY EUTHYROID INDIVIDUALS
BACKGROUND Obesity is known to be associated with altered thyroid function, increased risk of cardiovascular diseases, diabetes, insulin resistance and metabolic disorders. Thyroid hormones affect body weight through mod...
A CROSS-SECTIONAL DESCRIPTIVE STUDY OF NUTRITIONAL STATUS AND DISTRIBUTION OF COMMON ILLNESSES AMONG SCHOOL GOING CHILDREN OF AGE 5 - 10 YEARS IN A RURAL PRIMARY SCHOOL IN TRICHY DISTRICT, TAMILNADU
BACKGROUND Malnutrition is a major cause of morbidity and mortality among children of 3rd world countries including India. This study is undertaken to find out the present status of undernutrition among a particular rura...