To Compare the Haemodynamic Characteristics of Sevoflurane and Desflurane Anaesthesia and Fast Track Criteria of Recovery after Ambulatory Surgery
Loading...
Date
2019-07
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: The number and variety of procedures done onday care basis has rapidly increased in recent past. For daycare anaesthesia, the use of anaesthetics that provide fast andsmooth induction, allow quick changes in depth whilemaintaining anaesthesia, early recovery and less postoperative nausea and vomiting are recommended. The aim ofthis study to compared the haemodynamic characteristics ofsevoflurane and desflurane anaesthesia and Fast track criteriaof recovery after ambulatory surgery.Materials & Methods: A double blind randomized study in theDepartment of Anaesthesiology and Intensive Care Unit atGovt. Medical College, Amritsar. 100 patients of AmericanSociety of Anaesthesiologist grade I or II in the age group of 20to 50 years undergoing short surgical procedure under generalanaesthesia were included. Continuous monitoring of vitalswas started after attaching Multipara monitor. In first 15minutes of intra-operative period monitoring of BP, HR, SPO2and ECG pattern were done every 5 minutes after that timeinterval was changed to 10 minutes till completion of surgery.After completion of surgery emergence time was noted. Inrecovery room assessment of variables required for fast trackscoring system were recorded after every 5 minutes. All theresults were be compiled, analyzed statistically and theappropriate test was applied and the blinding of the study wasopened at the end.Results: Our study showed that the mean age of patients inboth the groups was found to be statistically insignificant(p>0.05). The mean duration of surgery in both the groups wasfound to be statistically insignificant (p>0.05). The fast trackscore in group S and D at different time interval wasstatistically insignificant (p>0.05) and the maximum number ofpatients achieving PADDS score between 60-120 minutes.83% patients were ready to go home at 120 minutes.Conclusion: We concluded that both the inhalationalanaesthetics i.e. sevoflurane and desflurane provide similarhaemodynamic stability, but desflurane is associated withfaster emergence as compared to sevoflurane.
Description
Keywords
Sevoflurane, Desflurane, Haemodynamic Stability
Citation
Bhatt Hem Chandra, Lohani Sailesh Kumar, Chauhan Aditya, Attri J P. To Compare the Haemodynamic Characteristics of Sevoflurane and Desflurane Anaesthesia and Fast Track Criteria of Recovery after Ambulatory Surgery. International Journal of Medical Research Professionals. 2019 Jul; 5(4): 212-216