@article{MAKHILLRJMS202519331689, title = {Propofol and Sevoflurane's Induction and Recovery Characteristics Comparison in Day Care Procedure for Adults}, journal = {Research Journal of Medical Sciences}, volume = {19}, number = {3}, pages = {67-73}, year = {2025}, issn = {1815-9346}, doi = {makrjms.2025.3.67.73}, url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2025.3.67.73}, author = {S. and}, keywords = {Sevoflurane, propofol, hemodynamic, elective procedures}, abstract = {
Ambulatory anaesthesia is a rapidly growing sub specialty. Although its history is as old as the history of general anesthesia itself, it has emerged as a recognized concept and is evolving over the past couple of decades. Propofol and Sevoflurane have increased the ability of the anaesthesiologist to provide a successful day‐care experience. The aim of the study was to compare the induction and recovery characteristics of Propofol and Sevoflurane when they are used as single induction and maintenance anaesthetic agent in adult day care tonsillectomies. This was a randomized prospective study carried out after obtaining ethical committee and institutional approval. 60 patients were randomly allocated to either the Propofol or the Sevoflurane group by lots. Each group had 30 patients and was named ‘P’ for Propofol and ‘S’ for Sevoflurane. Their age ranged from 13‐40 years. All the patients were assessed and those with normal clinical, biochemical, radiological and hematological parameters were selected. Despite the low blood gas solubility of Sevoflurane, inhalation induction of anaesthesia was slower than intravenous induction with Propofol. Though the incidence of induction complications was more with Sevoflurane group, it did not compromise tracheal intubation or hemodynamic except for bardycardia observed in three patients. Equal incidence of apnoea in both groups is attributable to the enhancement of the ventilatory depressant effect of Propofol and Sevoflurane by the opioid Fentanyl. Shorter emergence time in the Sevoflurane group did not translate into a shorter hospital study. Increased incidence of PONV and pain did not affect the time for home readiness. Sevoflurane is found to be a useful alternative for elective procedures of short duration.
} }