To compare Desflurane versus Sevoflurane on awakening and quality of recovery in patients undergoing elective laparoscopic cholecystectomy. We selected eighty patients, undergoing elective laparoscopic cholecystectomy which were divided into 2 groups, 40 in each group (Group S: sevoflurane, Group D: Desflurane). The time to eye opening, time to obey verbal command, the time to shifting to recovery, Aldrete score, PADSS scores and quality of recovery questionnaire 40 were compared in both groups. Results were statistically analyzed. The time to eye opening was 3.14±1.09 minutes in group D and 6.07 ± 1.91 minutes in group S. The time to obey verbal command was 3.63 ± 1.16 minutes in group D and 6.62±1.99 minutes in group S. The time to shifting to recovery was 5.08±1.18 minutes in group D and 7.87±2.2 minutes in group S. The mean orientation was 4.47±1.09 minutes in group D and 7.05±2.23 minutes in group S. The difference was significant (P<0.05). Statistically significant difference was seen in the Aldrete score at 5 minutes between group D and group S. (P<.05). The majority (57.50%) of patients in group D whereas in group S only 25% of patients reached score 9. No significant difference was seen in PADSS scores at 15 minutes, 30 minutes and 45 minutes P>.05) At 15 minutes, 30 minutes and 45 minutes, PADSS score distribution was comparable in both the groups with majority of patient’s PADSS score as 9 (P>.05). The mean value of quality of recovery questionnaire 40 (QoR‐40) in group D was 180.78 ± 17.63 and in group S was 185.1±16.45. No significant difference was seen in QoR‐40 between the two groups (P>.05). Time for early recovery like eye opening, follow verbal command, sit with support shift to recovery, orientation to time, place and person is faster with desflurane. Both inhalational anaesthetic agents are good for maintenance of surgery but early recovery is better with desflurane compare to sevoflurane.
Nakul Srivastava and Isha Naresh Bhagat. Comparison of Desflurane Versus Sevoflurane on Awakening and Quality of Recovery in Patients Undergoing Elective Laparoscopic Cholecystectomy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.5.689.692
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.5.689.692