Assessment of Efficacy of Comparison of Total I.V. Anaesthesia Using Propofol with an Inhalation Technique: A Hospital Based Study
DOI:
https://doi.org/10.21276/ghhsbj11Keywords:
inhalation anesthesia, IV anesthesia, Propofol, surgeryAbstract
Background: Postoperative nausea and vomiting can be particularly problematic in ambulatory surgery as it may lead to delay in discharge or unscheduled admission to hospital. Additionally, it has been reported as the anaesthetic complication that is of most concern to patients. Multiple factors, including the anaesthetic agent delivered, are associated with an increased incidence of PONV and the optimal strategy for preventing PONV continues to be debated. Aim of the study: To assess the efficacy of comparison of total I.V. anesthesia Using Propofol with an Inhalation Technique. Materials & Methods: The study was conducted in the department of anesthesia of R.B.M. Hospital, Bharatpur, Rajasthan, India. For the study we selected patient’s admitting to the surgical ward of the medical hospital of the institute. A total of 16 patients were selected for the study. An informed written consent was obtained from each patient after explaining them the procedure and significance of the study verbally. The patients were randomly grouped into two groups, Group 1 and Group 2. Patients in Group 1 underwent anesthesia by IV procedure and patient’s in Group 2 underwent anesthesia by inhalation method. Patients were followed up and monitored for pain, sedation score, nausea and vomiting in the post-operative period for 48 h. Results: A total of 16 patients were included in the study. The patients were randomly grouped into Group 1 and Group 2. We observed that mean age of patients in group 1 was 36.31+12.21 years and in group 2 was 32.21+10.98 years. Number of male patients in group 1 was 5 and in group 2 were 4. We observed that majority of cases had Grade 0 and 1 operative area. Conclusion: The hat total I.V. anesthesia using Propofol offers no significant advantage over inhalation anesthetic technique.
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Stankiewicz JA. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope. 1987;97:1270–3.
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Tirelli G, Bigarini S, Russolo M, Lucangelo U, Gullo A. Total intravenous anaesthesia in endoscopic sinus-nasal surgery. Acta Otorhinolaryngol Ital. 2004;24:137–44.
Smith I, White PF, Nathanson M, Gouldson R. Propofol: An update on its clinical use. Anesthesiology. 1994;81:1005–43.
Ankichetty SP, Ponniah M, Cherian V, et al. Comparison of total intravenous anesthesia using Propofol and inhalational anesthesia using isoflurane for controlled hypotension in functional endoscopic sinus surgery. Journal of Anaesthesiology, Clinical Pharmacology. 2011;27(3):328-332. doi:10.4103/0970-9185.83675.
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Marzban S, Haddadi S, Mahmoudi Nia H, Heidarzadeh A, Nemati S, Naderi Nabi B. Comparison of surgical conditions during propofol or isoflurane anesthesia for endoscopic sinus surgery. Anesth Pain Med. 2013 Sep;3(2):234-8. doi: 10.5812/aapm.9891. Epub 2013 Sep 1.
Santawat U, Lertakyamanee J, Svasdi-Xuto O. Recovery after total intravenous anesthesia (TIVA) using propofol and inhalation anesthesia (IA) 1. Stammberger H, Posawetz W. Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol. 1990;247:63–76.
Stankiewicz JA. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope. 1987;97:1270–3.
Maniglia AJ. Fatal and other major complications of endoscopic sinus surgery. Laryngoscope. 1991;101:349–54.
Boezaart AP, van der Merwe J, Coetzee A. Comparison of sodium nitroprusside- and esmolol-induced controlled hypotension for functional endoscopic sinus surgery. Can J Anaesth. 1995;42:373–6.
Ryu JH, Sohn IS, Do SH. Controlled hypotension for middle ear surgery: A comparison between remifentanil and magnesium sulphate. Br J Anaesth. 2009;229:1–6.
Ray M, Bhattacharjee DP, Hajra B, Pal R, Chatterjee N. Effect of clonidine and magnesium sulphate on anaesthetic consumption, haemodynamics and postoperative recovery: A comparative study. Indian J Anaesth. 2010;54:137–41.
Tirelli G, Bigarini S, Russolo M, Lucangelo U, Gullo A. Total intravenous anaesthesia in endoscopic sinus-nasal surgery. Acta Otorhinolaryngol Ital. 2004;24:137–44.
Smith I, White PF, Nathanson M, Gouldson R. Propofol: An update on its clinical use. Anesthesiology. 1994;81:1005–43.
Ankichetty SP, Ponniah M, Cherian V, et al. Comparison of total intravenous anesthesia using Propofol and inhalational anesthesia using isoflurane for controlled hypotension in functional endoscopic sinus surgery. Journal of Anaesthesiology, Clinical Pharmacology. 2011;27(3):328-332. doi:10.4103/0970-9185.83675.
Aujla KS, Kaur M, Gupta R, Singh S, Bhanupreet, Tavleen. A Study to Compare the Quality of Surgical Field Using Total Intravenous Anesthesia (with Propofol) versus Inhalational Anesthesia (with Isoflurane) for Functional Endoscopic Sinus Surgeries. Anesth Essays Res. 2017 Jul-Sep;11(3):606-610. doi: 10.4103/0259-1162.206858.
Marzban S, Haddadi S, Mahmoudi Nia H, Heidarzadeh A, Nemati S, Naderi Nabi B. Comparison of surgical conditions during propofol or isoflurane anesthesia for endoscopic sinus surgery. Anesth Pain Med. 2013 Sep;3(2):234-8. doi: 10.5812/aapm.9891. Epub 2013 Sep 1.
Santawat U, Lertakyamanee J, Svasdi-Xuto O. Recovery after total intravenous anesthesia (TIVA) using propofol and inhalation anesthesia (IA) using halothane in day case surgery. J Med Assoc Thai. 1999 Aug;82(8):770-7.
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