Comparison of emergence and recovery characteristics of sevoflurane and desflurane for gynaecological day care laparoscopic surgery

DR.REEMA MEENA; DR.VASUNDHARA

Volume : IX, Issue : IX, September - 2019

Comparison of emergence and recovery characteristics of sevoflurane and desflurane for gynaecological day care laparoscopic surgery

Dr. Reema Meena, Dr. Vasundhara

Abstract :

Background and Aims :–Ambulatory anaesthesia provides benefits to not only the patients but also the healthcare providers and hospitals. Inhaled anaesthetics allow rapid emergence from anaesthesia. With the availability of newer less soluble inhalation anaesthetics ,we planned this prospective randomised study to compare the emergence and recovery characteristics of sevoflurane and desflurane for outpatient gynaecological laparoscopic surgeries. Material and methods :–ASA 1,2 patients , undergoing gynaecological day care laparoscopic surgeries were randomly assigned to receive desflurane (n= 25) or sevoflurane (n=25) after induction with intravenous propofol (2mg/kg) , emergence and recovery characteristics , perioperative hemodynamics and adverse events were recorded . Data were analysed using SPSS, version 21 for windows statistical software package. P< 0.05 was considered statistically significant. Results:–Demographic data, perioperative haemodynamics, duration of surgery were comparable between both the groups .Emergence and early recovery was significantly shorter in the Desflurane ggroup as compared to Sevoflurane group ((5.89±1.77 min. versus 15.68±4.52 min , p < 0.05). A significantly higher mean modified aldrete score was seen at 10 minutes (9.07± 0.27 versus 8.04±0.78) in Desflurane group.) but late recovery assessed by next day activity score was comparable in both the groups (p> 0.05) Conclusion:–Desflurane provides faster emergence and recovery in comparison to sevoflurane but despite a faster wake up time with desflurane, time to home readiness is similar in both the group.