A STUDY TO EVALUATE THE EFFECTS OF ISOFLURANE AND DESFLURANE ON RECOVERY IN PATIENTS UNDERGOING SURGERY FOR SUPRATENTORIAL BRAIN LESIONS

Dr Prashant Kumar; Dr Sheenam Walia; Dr Kiranpreet Kaur; Dr Sanjay Johar; Dr Mamta Bharadwaj; Dr Ishwar Singh

Volume : V, Issue : IX, September - 2016

A STUDY TO EVALUATE THE EFFECTS OF ISOFLURANE AND DESFLURANE ON RECOVERY IN PATIENTS UNDERGOING SURGERY FOR SUPRATENTORIAL BRAIN LESIONS

Dr Prashant Kumar, Dr Sheenam Walia, Dr Kiranpreet Kaur, Dr Sanjay Johar, Dr Mamta Bharadwaj, Dr Ishwar Singh

Abstract :

Neuro–anaesthesia emphasizes on the provision of optimal operative conditions, preservation of neurocognitive function, and a rapid, high–quality recovery. Cereal hyperaemia can lead to intracranial haemorrhage, edema and even confusion. Isoflurane has minimal effects on CBF and ICP while desflurane is beneficial in neurosurgical patients due to its low solubility. We conducted a study to compare 1 MAC of desflurane(group D) with that of 1 MAC of isoflurane (group I) on hemodynamics in patients undergoing excision of supratentorial mass lesion. The ain relaxation was found better with Isoflurane, with scores of 1.95 and 2.50 in group I and D respectively, showing significantly relaxed ain with isoflurane as compared to desflurane. The recovery time was found 6.25 minutes with Desflurane versus 15.50 minutes with Isoflurane.