COMPARISON OF INDUCTION, INTUBATION AND RECOVERY CHARACTERISTICS OF HALOTHANE + PROPOFOL V/S SEVOFLURANE + PROPOFOL IN CHILDREN UNDERGOING ADENOTONSILLECTOMY
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 2
Abstract
Purpose: General anaesthesia for oral surgeries in paediatric patients is always challenging for an anaesthesiologist. Aim was to compare halothane+propofol and sevoflurane+propofol in paediatric patients undergoing adenotonsillectomy without muscle relaxant. Method: In a double blind manner, eighty patients of 3- 10 years were premedicated with inj. Atropine and randomly divided into two groups of forty each. In Group A, priming was done with 50% oxygen+50% nitrous oxide+4% halothane for 1 minute, after loss of eye lash reflex and centralisation of pupil intravenous cannulation done. Inj. midazolom, lignocaine and Propofol were given and trachea was intubated. Maintenance was done with 1-2% halothane+ nitrous oxide+ oxygen and continuous propofol infusion. Similar technique was used in group B except for priming done with sevoflurane 7% and maintenance with 2-3%. Both groups were compared for induction, intubating conditions, haemodynamics and emergence characteristics. Results: Induction was rapid in group B as time for loss of eye lash reflex and centralisation of pupil was less in group B (21.88±12.6 &114.40±28.8 seconds) as compared to group A (33.05±4.0 & 140.05±12.1 sec) p<0.001. Intubating conditions were excellent but mean intubation time was less in group B as compared to group A p<0.001. Heart rate and blood pressure remained on lower side in group A. Emergence was significantly rapid in group B. No side effect or complications were noted. Conclusion: Both groups provided excellent intubating conditions but sevoflurane+propofol group was better as it provided faster induction and rapid recovery from anaesthesia with more stable haemodynamics as compared to Halothane+propofol group.
Authors and Affiliations
Sarabjit kaur| Professor, Department of ENT, GMC Amritsar, India, Veena Chatrath| Professor, Department of ENT, GMC Amritsar, India, Gagandeep Kaur| Senior Resident, Department of ENT, GMC Amritsar, India, Vishal Jarewal| Resident, Department of Anaesthesia, GMC Amritsar, India , Kulwinder S Sandhu | Senior Resident, Department of ENT, GMC Amritsar, India, Corresponding author: Kulwinder S Sandhu Email: gsandhu2454@gmail.com, Sudha| Senior Resident, Department of ENT, GMC Amritsar, India
Keywords
Related Articles
- EP ID EP11409
- DOI 10.5958/2319-5886.2015.00075.2
- Views 270
- Downloads 14
The Effect of Gallic Acid on Histopathologic Evaluation of Cerebellum in Valproic Acid-Induced Autism Animal Models
Autism spectrum disorder (ASD) is counted as a worldwide public health problem. The possible causes of ASD are reactive oxygen species and free radicals. So, this study is aimed to evaluate the effects of Gallic acid, a...
Surgically treated early stage cervical cancer – Prognostic factors and adjuvant treatment
Invasive cancer of cervix is considered a preventable disease as it has a long pre-invasive state. If detected in early stages i.e upto stage IIA1 the disease is curable with good survival rates. • To identify the pr...
Comparative study on Virtual Reality Training (VRT) over Sensory Motor Training (SMT) in Unilateral Chronic Osteoarthritis – A Randomized Control Trial
Osteoarthritis is a common rheumatologic disease. Several non operative interventions have been described for the treatment. But the available evidences of comparing the effectiveness of Virtual reality training over se...
A COMPARATIVE STUDY OF CAREGIVER BURDEN IN CANCER CERVIX AND CANCER BREAST ILLNESSES
Background: Caregivers of individuals suffering from cancer illnesses are at risk of having subjected to mental health consequences. There is a paucity of data comparing the caregiver burden of cancer breast and cancer...
EMERGING ROLE OF VITAMIN D IN HEALTH
Vit. D is a steroid prohormone. It is synthesized in the skin under ultra –violet light exposure. Traditionally, Vit.D3, cholecalciferol and calcitriol were known to have a role only in calcium and bone mineral metabo...