Recovery Profile Using Modified Aldrete Score in Post Anaesthesia Care Unit After Sevoflurane or Desflurane Anaesthesia: A Prospective Randomised Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 9
Abstract
ABSTRACT Introduction: General Anaesthesia should provide rapid smooth induction and optimal conditions during the perioperative period. It should also provide rapid recovery and minimum monitoring period to meet discharge criteria in Post Anaesthesia Care Unit (PACU). Aim: To assess the efficacy of sevoflurane and desflurane with regards to emergence and recovery in surgical procedures lasting less than 120 minutes when used as maintenance anaesthetic agents. Materials and Methods: This was a hospital based prospective randomised study. After obtaining informed and written consent, 60 patients belonging to ASA I or II scheduled for surgery under general anaesthesia were recruited and distributed to two groups each of 30 to receive sevoflurane or desflurane for maintenance of anaesthesia after randomization with computer generated numbers. Unpaired t-test and chi-square test were used for qualitative data, ANOVA for quantitative data and Mann-Whitney test was used for Modified Aldrete Score (MAS). Results: The mean duration of surgery was 92.83±25.820 minutes in desflurane and 92.67±28.062 minutes in sevoflurane groups, the time for spontaneous eye opening on verbal commands was 5.17±1.48 minutes in desflurane group compared to sevoflurane group which was 8.96±1.58 minutes with mean difference of 3.79±0.1 minutes, p-value<0.001, 95% confidence interval 3.7 (2.703 to 4.953). A median MAS of 10 was attained at five minutes in desflurane group and 15 minutes in sevoflurane group, in PACU and was statistically significant (p<0.001). Conclusion: Desflurane had faster emergence and early recovery from anaesthesia with clear-headedness than sevoflurane.
Authors and Affiliations
Sunil Kumar Valasareddy, Siva Kumar Segaran, Sagiev Koshy George, R V Ranjan, Oommen George Titu, Pillai Radhakrishnan Anil
Keywords
Related Articles
- EP ID EP524536
- DOI 10.7860/JCDR/2018/35345.11963
- Views 57
- Downloads 0
Osteoplastic Flap Approach for Posterior Table Leak: A Case Report
ABSTRACT Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delay...
Does Ear Morphology Establish Automatic Extraction of Soft Biometric Traits?
ABSTRACT Introduction: The external appearance of auricle varies between ethnic groups. However, there have been no studies on external ear morphometry correlating soft biometrics of the same individual. Therefore, a mor...
Computed Tomography Imaging Findings of Hepatic Hereditary Haemorrhagic Telangiectasia
ABSTRACT Hereditary Haemorrhagic Telangiectasia (HHT) also known as Osler Weber Rendu disease is a rare, under diagnosed, autosomal dominant multiorgan angio dysplasia. We present a case of 61-year-old female with compla...
Pattern of Allergen Sensitivity among Patients with Bronchial Asthma and/or Allergic Rhinosinusitis in a Tertiary Care Centre of Southern India
Introduction: The distribution of aeroallergens varies among various geographical areas of India and the knowledge of allergen sensitivity pattern in this part of Southern Indian (Karnataka) is limited. This data can pro...
The Correlation between Body Mass Index and Vasopressor Need after Spinal Anaesthesia for Cesarean Section
ABSTRACT Introduction: Hypotension is one of the common complications of spinal anaesthesia in mothers undergoing cesarean delivery. Vasopressor such as ephedrine or phenylephrine are the most common drugs employed to tr...