Patient evaluation of four different combinations of intravenous anaesthetics for short outpatient procedures

Abstract

SummaryWe studied 200 female patients ( A S A group I )

Comparative evaluation of propofol-ketamine and propofol-fentanyl for minor surgical procedures

“…Other complications in the intraoperative period were minimal and statistically comparable. These findings concordance with study of Jakobsson J et al, 1 Jakobsson J et al, 3 Hui TW et al, 11 Tan CH et al, 12 Saha K et al, 8 Akin A et al 14 In the present study, majority of patients were discharged at 91 to 93 min in group I and at 96 to 100 min in group II. In group II patients required prolonged time of discharge could be due to longer duration of action of fentanyl.…”

“…The discharged times in both the groups were comparable and statistically significant (p˂0.001). The result of present study as per the discharge time was similar with study done by Jakobsson J, 3 Saha K, 8 Akin A et al…”

“…Various studies reported that propofol can be used satisfactorily as a sole anaesthetic agent for day care surgery when analgesics are used as an adjuvant along with it. 3 The choice of premedication as well of adjuvant to propofol is always a matter of differing opinion, some advice opioid premedication, some offers benzodiazepines. Similarly various adjuvants like ketamine, fentanyl, alfentanil or other opioid analgesic have been used as adjuvant.…”

“…2,3 Although there is no gold standard for short outpatient anaesthesia, propofol has been claimed by many anaesthetist to be the best induction agent, because of its clear headed nature of the recovery and low incidence of postoperative nausea and vomiting. Various studies reported that propofol can be used satisfactorily as a sole anaesthetic agent for day care surgery when analgesics are used as an adjuvant along with it.…”

“…Acknowledging the view of the various authors, [1][2][3][4][5] ketamine and fentanyl was compared as pre induction adjuvants to propofol for short surgical procedures like closed reduction fracture upper limb, incision and drainage of abscesses, dilatation and curettage and dilatation and evacuation. The study was design to assess the intraoperative, postoperative stability of the haemodynamics, respiratory parameters as well the recovery profile in both the propofolketamine and propofol-fentanyl groups.…”