A Comparative study between Sevoflurane and Propofol using Bispectral Index monitoring to ascertain which is a better agent for short duration surgeries.

Pradyumna Kulkarni; Parmeet Bhatia; Saurabh Sud; Jagdeep Singh Bhatia; Deepak Dwivedi

Volume : IX, Issue : VIII, August - 2019

A Comparative study between Sevoflurane and Propofol using Bispectral Index monitoring to ascertain which is a better agent for short duration surgeries.

Pradyumna Kulkarni, Parmeet Bhatia, Saurabh Sud, Jagdeep Singh Bhatia, Deepak Dwivedi

Abstract :

In this era of day care surgery there is continuous endeavor in ensuring early and clear–headed recovery of patient’s post–surgery, enabling their discharge to home same day. Sevoflurane and propofol are considered to be the agents of choice in surgeries of short duration due to their better recovery profile and fewer post–operative complications. Bispectral monitoring helps in titrating the doses of anesthetics so as to prevent under dosage or over dosage, leading to maintenance of adequate depth of anaesthesia, prevention of recall and early and complete recovery. This prospective randomized study was planned using a bispectral index monitoring to compare sevoflurane and propofol during induction, tracheal intubation, maintenance and postoperative awakening to find out which is better agent for short surgeries. A total of 60 eligible patients were divided randomly into two groups, Group P (Propofol n=30) and Group S (Sevoflurane n=30). Our study shows that sevoflurane is haemodynamically more stable than propofol during induction and maintenance of anaesthesia. Sevoflurane produces slower induction but deeper plane of anaesthesia as compared to propofol. Therefore, these both drugs are good for short duration surgeries and have their own advantages & side effects. But since sevoflurane causes more side effects, propofol is the better choice as an as agent for induction of anaesthesia for short procedures.