A Study to Find Hemodynamic Changes and Complication Occurring with Propofol and Etomidate During General Anaesthesia
DOI:
https://doi.org/10.21276/x06x9z82Keywords:
Propofol, Etomidate, General Anaesthesia.Abstract
Background: The present study was undertaken for assessing hemodynamic changes and complication occurring with propofol and etomidate during general anaesthesia.
Materials & Methods: Sixty patients who were schedule to undergo surgical procedure under general anaesthesia were enrolled in the present study. Random division of patients was done into two study groups as follows: Group A: 30 Patients who received Propofol, and Group B: 30 Patients who received Etomidate group. All the patients were premedicated with alprazolam 0.25 mg and ranitidine 150 mg one night before the surgery. All the hemodynamic parameter was recorded during the surgery procedure. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software.
Results: Incidence of complications was slightly higher among subjects of group A. Mean arterial pressure among patients of group A at baseline, at induction, at laryngoscopy, after one minute, after five minutes and after fifteen minutes were 92, 76, 105, 101, 92 and 95 respectively. Mean arterial pressure among patients of group B at baseline, at induction, at laryngoscopy, after one minute, after five minutes and after fifteen minutes were 95, 89, 95, 97, 94 and 96 respectively. While analysing statistically, it was seen that mean arterial pressure and mean heart rate are significantly altered at different time intervals among subjects of group A.
Conclusion: Etomidate had superior efficacy in comparison to propofol as an anaesthetic agent.
Downloads
References
Miller RD, Reves JG, Glass PS, Lubarsky DA, McEvoy MD. 6th ed. Vol.
Philadelphia: Elsevier Churchill Livingstone; 2009. Intravenous non
opioid anaesthetics; Miller's Anaesthesia; pp. 318–61.
Saricaoglu F, Uzun S, Arun O, Arun F, Aypar U. A clinical comparison
of etomidate-lipuro, propofol and admixture at induction. Saudi J
Anaesth. 2011;5:62–6.
Weisenberg M, Sessler DI, Tavdi M, Gleb M, Ezri T, Dalton JE, et al.
Dose-dependent hemodynamic effects of propofol induction following
brotizolam premedication in hypertensive patients taking angiotensinconverting enzyme inhibitors. J Clin Anesth. 2010;22:190–5.
Max T. Baker, Mohamed Naguib, David C. Warltier; Propofol: The
Challenges of Formulation. Anesthesiology 2005;103:860–876
Gabler, M., Ruppert, M., Lefering, R. et al. Pre-hospital emergent
intubation in trauma patients: the influence of etomidate on mortality,
morbidity and healthcare resource utilization. Scand J Trauma Resusc
Emerg Med . 2019; 27.
Zhang YF, Li CS, Lu XH, Li L. Effect of dexmedetomidine combined with
propofol or sevoflurane general anesthesia on stress and postoperative
quality of recovery (QoR-40) in patients undergoing laparoscopic
surgery. Zhonghua Yi Xue Za Zhi. 2019;99:1302–1306.
Park CH, Park SW, Hyun B, Lee J, Kae SH, Jang HJ, Koh DH, Choi MH.
Efficacy and safety of etomidate-based sedation compared with
propofol-based sedation during ERCP in low-risk patients: a doubleblind, randomized, noninferiority trial. Gastrointest Endosc.
;87:174–184.
Morrison C, Brown B, Lin DY, Jaarsma R, Kroon H. Analgesia and
anesthesia using the pericapsular nerve group block in hip surgery and
hip fracture: a scoping review. Reg Anesth Pain Med. 2021;46:169–175.
Antkowiak B, Rammes G. GABA(A) receptor-targeted drug development
-New perspectives in perioperative anesthesia. Expert Opin Drug
Discov. 2019 Jul;14(7):683-699
Singh PM, Arora S, Borle A, Varma P, Trikha A, Goudra BG. Evaluation
of Etomidate for Seizure Duration in Electroconvulsive Therapy: A
Systematic Review and Meta-analysis. J ECT. 2015 Dec;31(4):213-25.
Aggarwal S, Goyal VK, Chaturvedi SK, Mathur V, Baj B, Kumar A. A
comparative study between propofol and etomidate in patients under
general anesthesia. Braz J Anesthesiol. 2016 May-Jun;66(3):237-41
Rathore VS, Singh S, Taank P, Khandelwal A, Kaushal A. Clinical
Analysis of Propofol, Etomidate and an Admixture of Etomidate and
Propofol for Induction of General Anaesthesia. Turk J Anaesthesiol
Reanim. 2019 Oct;47(5):382-386.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research (IABCR)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.