Title: Comparison of quality, recovery and satisfaction score of Sevoflurane with Propofol anaesthesia in spontaneously breathing patients using laryngeal mask airway in ambulatory surgeries
Authors: Gaurav Goyal MD, Atul Kulkarni, Kailash Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v5i12.54
Abstract
Background: Patient satisfaction is a highly sensitive quality measure of anaesthesia management; maintaining a good surgical plane and early recovery are important factors for the outcome of any procedure. We have designed this study to compare quality, recovery and satisfaction characteristics of sevoflurane with propofol on spontaneously breathing patients with laryngeal mask airway in ambulatory surgeries.
Methods: The patients were randomly divided into two groups of 30 cases each. First group was maintained on propofol and second on sevoflurane. Patients’ experiences during the peri-operative anaesthesia period were asked along with operative surgeon’s satisfaction to assess quality of anaesthesia.
Results: Results of the study suggest that jaw relaxation was significantly faster in the propofol group, conditions for laryngeal mask airway (LMA) insertion were similar in both groups, time taken for LMA insertion was less in propofol group, but post-induction apnoea period was significantly higher in propofol group. Emergence from sevoflurane was shorter and early recovery was achieved quickly in sevoflurane group while time taken for intermediate recovery was not significantly different. Patients experienced more nausea/vomiting in the post-operative period with sevoflurane but both groups were satisfied with quality. Surgeons were more comfortable with sevoflurane anaesthesia due to less muscle twitching with cautery and added muscle relaxation property.
Conclusion: Both techniques were similar in terms of quality, recovery and satisfaction scores and they have their own positive and negative features. Both techniques were acceptable for ambulatory anaesthesia.
Keywords: Quality, recovery and satisfaction scores, Laryngeal mask airway, Sevoflurane, Propofol.
References
- Jeong-Yeon Hong: Comparison of Sevoflurane nitrous and target controlled Propofol with Fentanyl anaesthesia for hysteroscopy: Younsai Medical journal 2002 vol. 43(4):420-426.
- Smith: A Multi-center comparison of the costs of anaesthesia with Sevoflurane and Propofol: BJA:1999:83:(4) 564-570.
- Mark YH, Chow: Comparison of Sevoflurane with Propofol for laryngeal mask airway insertion in adults: Anaesthesia-Analgesia 1999:88:908-929.
- Fredman: Sevoflurane for outpatient anaesthesia: A comparison with propofol: Anaesthesia-Analgesia 1995:81:823-828.
- Lian K T, Mark YHC: Comparison of Sevoflurane with Propofol for LMA Insertion in Adults: Anaesthesia-Analgesia. 1999:88:908-912.
- Mary E M: Propofol or Sevoflurane for Laryngeal Mask Airway Insertion. Can. J Anaesth. 1999:46(4):322-326.
- Scott W, Jellish: The comparative effects of Sevoflurane versus Propofol in induction and maintenance of anaesthesia in adult patients. Anaesthesia-Analgesia 1996:82:479-485.
- Beverly K, Phillip: Comparison of vital capacity induction with, Sevoflurane to intravenous induction with Propofol for adult ambulatory anaesthesia. Anaesthesia-Analgesia 1999:89:623-634.
- Dajun Song: Fast track eligibility after ambulatory anaesthesia: A comparison of Desflurane, Sevoflurane and Propofol: Anaesthesia-Analgesia 1998:86:267-273.
- Dinesh Kumar Sahu, Vinca Kaul, Reena Parampill. Comparison of isoflurane and sevoflurane in anaesthesia for day care surgeries using classical laryngeal mask airway. Indian J Anaesth. 2011 Jul-Aug; 55(4):364–369.
- A comparison of airway responses during Desflurane and Sevoflurane administration via a Laryngeal mask airway for maintenance of anaesthesia. RW Eshima, Maurer A, King T, Lin BK, Heavner JE, Bogetz MS, Kaye AD Anaesthesia-Analgesia 2003 96:701-705.