P R Ravi1, H S Nanda2, S Anant3. 1. Classified Specialist (Anaesthesiology), 5 AFH, C/o 99 APO. 2. PMO, HQ SWAC, Gandhinagar. 3. Classified Specialist (Anaesthesiology), PHS C/o Air HQ, RK Puram, New Delhi.
Abstract
BACKGROUND: Induction and maintenance characteristics of sevoflurane and halothane have been studied, but little work has been done to compare the postoperative recovery of these two agents. METHODS:Sixty adult, ASA I and II patients were allocated randomly into Group A and Group B of 30 each. Group A received sevoflurane and Group B received halothane for maintenance. At the end of surgery early recovery, intermediate recovery and discharge criteria were assessed. RESULTS: Early recovery assessed with the mean time to extubation was 6.7 ± 2.29 min in Group A and 9.07 ± 1.64 min in Group B; eye opening was 7.28 ± 2.3 min in Group A and 10.6 ± 1.77 min in Group B; response to verbal command was 8.52 ± 2.83 min in Group A and 12.33 ± 2.17 min in Group B, while orientation was 10.43 ± 3.15 min in Group A and 14.77 ± 2.66 min in Group B. These differences were statistically significant (p<0.001). The mean time to reach post anaesthesia care unit discharge criteria was shorter for Group A (21.1 ± 4.69 min) as compared to Group B (27.43 ± 6.51 min) and this difference was statistically significant (p<0.001). CONCLUSION:Early recovery time and time taken to achieve discharge criteria were faster with sevoflurane.
RCT Entities:
BACKGROUND: Induction and maintenance characteristics of sevoflurane and halothane have been studied, but little work has been done to compare the postoperative recovery of these two agents. METHODS: Sixty adult, ASA I and II patients were allocated randomly into Group A and Group B of 30 each. Group A received sevoflurane and Group B received halothane for maintenance. At the end of surgery early recovery, intermediate recovery and discharge criteria were assessed. RESULTS: Early recovery assessed with the mean time to extubation was 6.7 ± 2.29 min in Group A and 9.07 ± 1.64 min in Group B; eye opening was 7.28 ± 2.3 min in Group A and 10.6 ± 1.77 min in Group B; response to verbal command was 8.52 ± 2.83 min in Group A and 12.33 ± 2.17 min in Group B, while orientation was 10.43 ± 3.15 min in Group A and 14.77 ± 2.66 min in Group B. These differences were statistically significant (p<0.001). The mean time to reach post anaesthesia care unit discharge criteria was shorter for Group A (21.1 ± 4.69 min) as compared to Group B (27.43 ± 6.51 min) and this difference was statistically significant (p<0.001). CONCLUSION: Early recovery time and time taken to achieve discharge criteria were faster with sevoflurane.
Authors: X Chen; M Zhao; P F White; S Li; J Tang; R H Wender; A Sloninsky; R Naruse; R Kariger; T Webb; E Norel Journal: Anesth Analg Date: 2001-12 Impact factor: 5.108
Authors: Jae Young Ji; Jin Soo Park; Ji Eun Kim; Da Hyung Kim; Jin Hun Chung; Hea Rim Chun; Ho Soon Jung; Sie Hyeon Yoo Journal: Chin Med J (Engl) Date: 2019-04-05 Impact factor: 2.628