A comparative study of sevoflurane versus isoflurane with respect to postoperative complications
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 10
Abstract
Introduction: Pediatric anesthesia is a continuum of clinical care. It Begins with preoperative evaluation and continues through Consideration of fasting interval, premedication, induction, Maintenance, emergence, postoperative analgesia and care of Child in PACU. Anaesthetics used for paediatricanaesthesia should produce rapid and smooth induction, rapid emergence and a short postoperative Recovery period with minimal adverse effect. Although Halothane is most commonly used for induction of Anaesthesia in children, anaesthesia may also be inducted with the Ether anaesthetics like Isoflurane, Enflurane, Desflurane and Sevoflurane. Nitrous oxide. Premedication, anticholinergics and rate of increase in the inspired Concentration have all been used to attenuate airway reflex Responses with variable success. Aims and Objective: To study of sevofluranne versus isoflurane with respect to complications Methodology: After obtaining approval from the institution, we have undertaken, study of 60 paediatric patients, from the year 2000- 2001, at S.S.G.H., Vadodara.% Result: after extubation, at 10, 20 and 30 minutes interval, percentage Of patients having Modified Alderete Score > 8 in Group I were 3.33%, 40% 100% respectively, whereas in Group S were 100% At 10 minutes. So, time to achieve Modified Alderete Score of > 8 Was longer in Group I as compared to Group S. major complication observed in Group I were breath-holding (16.67%) and nausea/vomiting (20%), While minor complications observed were agitation (3.33%) and Secretions (3.33%). Conclusion: The clinical profile of Sevoflurane compares favourabley Against that Isoflurane. Sevoflurane provides superior clinical Profile to Isoflurane in paediatricpatients : a smoother and more Rapid induction of anaesthesia, better haemodynamic stability and a significantly more rapid emergence and recovery from Anaesthesia. Patients awakening from Sevoflurane remained more Agitated than Isoflurane. This emphasizes the need for adequate Analegesia before recovery.
Authors and Affiliations
Bhavesh K Dalwadi, Jigna B Dalwadi
Keywords
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