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title:Comparison of Recovery Profile After the Use of Desflurane, Sevoflurane and Propofol in Day Care Laproscopic Surgeries

Author:Reshma R Korat, Vimal Karagathara, Bhavin Patel

Keywords:Propofol, Desflurane, Sevoflurane, fast track eligibility score

Type:Original Article

Abstract:Introduction: For day care anesthesia applications the use of anesthetics that provide fast and smooth induction allow quick changes in depth while maintaining anesthesia, early recovery, less post operative nausea and vomiting, less pain and good fast track eligibility score are recommended. Given the low blood gas partition coefficient of Sevoflurane (0.69) and Desflurane (0.42) a more rapid emergence from anesthesia is expected compared with traditional inhalational agents like Isoflurane. Methodology: For the study, after permission of institutional ethical committee, 90 cases of ASA 1 and 2 physical status scheduled for laparoscopic surgery in Sterling Hospital, Ahmedabad, Gujarat were randomly divided to one of three anesthetic groups by the chit method. Total 90 adult patients of ASA I and II between the age group of 18 – 70years of either sex posted for elective daycare laparoscopic were selected for the study. They were randomly divided into three groups Group 1 received Desflurane, Group 2 received Propofol and Group 3 received Sevoflurane. Results: There were total 30 patients in each group. In group of Desflurane and group of Sevoflurane least fall in blood pressure than group of Propofol. So Propofol causes maximum fall in blood pressure as compare to Desflurane and Sevoflurane. Following to vaporizer turn off the immediate recovery is seen in Desflurane group of patient. While delayed eye opening seen in Propofol group of patient and intermediate eye opening seen in Sevoflurane group. Conclusion: Desflurane provides faster recovery from anesthesia in patients undergoing laparoscopic surgeries than Sevoflurane and Propofol. However all three groups were hemodynamically stable during the intraoperative period.

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