Comparison of recovery and emergence characteristics of patients in two groups of desflurane and sevoflurane after paediatric general anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 2
Abstract
Background: A child’s emergence behaviour from general anaesthesia is important to both the Anaesthesiologist and the parent. Often times, patients are agitated upon emergence and during the initial recovery period. Emergence agitation occurs most frequently during the initial 10 minutes of recovery and has been defined as non-purposeful restlessness, agitation, thrashing, crying or moaning, disorientation and incoherence. Aim and objectives: To compare the recovery and emergence characteristics of patients in two groups of Desflurane and sevoflurane after paediatric General Anaesthesia. Materials and method: In the present study total 100 Paediatric patients of either gender of age group of 5-12 years with ASA I or II and posted for minor surgical procedures of head, neck, face and abdomen surgeries under general anaesthesia were enrolled. Patients were randomly divided into 2 groups of 50 patients each according to a computer-generated random numbers table. Desflurane Group: Anaesthesia induced using inj. Propofol (2mg/kg) and maintained with 60% N2O and 40% O2 and desflurane. Sevoflurane Group: Anaesthesia induced using inj. Propofol (2mg/kg) and maintained with 60% N2O and 40%O2 and sevoflurane. Time required for Regular Breathing, Response to pain, Obey commands, Limb lift, Extubation, Shift to PACU and discharge from PACU that is time to Achieve PARS ≥ 9 (post anaesthesia recovery score of Aldrete and Kroulik) were recorded for both the groups and compare. Results: Age, sex, weight and the duration of surgery were comparable in both the groups. The mean time taken for the patients to breathe regularly following discontinuation of anaesthesia was 4.8 minutes and 6.74 minutes in desflurane and sevoflurane group, respectively. The mean time taken for the patient to respond to painful stimulus following discontinuation of anaesthesia was 5.42 minutes and 9.37 minutes in desflurane and sevoflurane group, respectively The mean time taken by the patients to obey to vocal commands was found to be 6.07 minutes and 10.35 minutes in desflurane and sevoflurane group, respectively. The mean time taken by the patients for spontaneous eye opening in desflurane and sevoflurane group was found to be 6.93 minutes and 11.27 minutes, respectively. Mean time taken by the patients for lifting their limbs was found to be 7.68 minutes and 11.96 minutes in desflurane and sevoflurane group, respectively. Conclusion: we conclude that Desflurane had rapid emergence, recovery from anaesthesia and early discharge from PACU when compared with sevoflurane.
Authors and Affiliations
Ambika Bandagi, G K Nikam, Shailesh Chauhan
Keywords
Related Articles
- EP ID EP590466
- DOI 10.26611/101510210
- Views 172
- Downloads 0
A randomized, prospective, comparative study to evaluate the sensory blockade properties of 3ml of 0.5% isobaric levobupivacaine and 3ml of 0.5% isobaric ropivacaine for spinal anaesthesia in patients undergoing elective lower limb orthopaedic surgeries
Background: Regional anaesthesia is the preferred technique for most of the lower abdomen and lower limb surgeries. Bupivacaine has increased incidence of fatal cardiac toxicity after accidental intravascular injection,...
Comparative study of effects of tramadol and midazolam added to bupivacaine (0.25%) in supraclavicular brachial plexus block for upper limb surgeries
Background: Supraclavicular brachial plexus block is commonly used for upper limb surgeries due to its effectiveness, performance and margin of safety. To minimize the drawbacks of bupivacaine, adjuvants are usedto impro...
Combination of tranexamic acid and dexmedetomidine reduces postoperative blood loss in patients undergoing bilateral total knee replacement - A randomized controlled study
Background: Total knee replacement in adults is associated with significant blood loss, often requiring allogenic blood transfusion. Tranexamic acid (TEA) reduces blood loss and red cell transfusions in patients undergoi...
A comparative study of analgesic efficacy of intrathecal bupivacain(0.5) heavy with different doses of midazolam(1mg and 2mg) as adjuvant in patients undergoing elective lower limb surgeries
Background: Discovery of spinal receptors like alpha 2 adrenergic, cholinergic, opioid, NMDA and gamma aminobutyricacid(GABA)and benzodiazepine receptors trigger the use of drugs like neostigmine, clonidine, opioids keta...
Effect of spinal anaesthesia on perioperative hyperglycemia in diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: Surgery evokes stress response resulting in increased secretion of counter-regulatory hormones (catecholamines, cortisol, glucagon, and growth hormone) and excessive release of inflammatory cytokines...