Comparison of induction and recovery characteristics of Propofol and Sevoflurane in daycare adult tonsillectomies
Journal Title: International Archives of Integrated Medicine - Year 2019, Vol 6, Issue 3
Abstract
Background: Ambulatory anesthesia is a rapidly growing subspecialty. Although its history is as old as the history of general anesthesia itself, it has emerged as a recognized concept and is evolving over the past couple of decades. Propofol and sevoflurane have increased the ability of the anesthesiologist to provide a successful daycare experience. Aim: To compare the induction and recovery characteristics of propofol and sevoflurane by, the time to loss of consciousness, incidence of apnoea, induction complications, recovery time and incidence of postoperative nausea, vomiting, and pain when they are used as sole induction and maintenance anaesthetic agents in adult tonsillectomies. Materials and methods: A total of 40 patients scheduled for tonsillectomy were selected. Each patient was randomly allocated to either the propofol or the sevoflurane group by lots. All the patients received glycopyrrolate 5 mcg/kg IV and fentanyl, 2 mcg/kg IV just before induction of anesthesia. Propofol group patients received propofol 2 mg/kg IV and intubated with 1.5 mg/kg succinylcholine IV. Sevoflurane group patients induced with sevoflurane 4% by patient-controlled inhalation induction and intubated with 1.5 mg/kg succinylcholine IV. The characteristics were compared by assessing the time to loss of consciousness, induction complications such as desaturation, coughing, laryngospasm and patient movement, the incidence of apnoea, time of Phase 1 and Phase 2 recovery. Results: Induction with sevoflurane was slower than propofol. The incidence of apnoea was equal in both groups. Phase 1 and 2 recovery times were comparable between both the groups. Sevoflurane anesthesia was associated with high Postoperative Nausea and Vomiting (PONV) and postoperative pain rate which is statistically not significant. Conclusion: The smoother induction and less postoperative PONV with propofol make it an ideal anaesthetic agent than sevoflurane for induction and maintenance of anesthesia in adult outpatient surgeries.
Authors and Affiliations
R Ahila, Ganapathy Asokan
Keywords
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