Post- Operative Recovery Profile after Laparoscopic Cholecystectomy: Comparing Inhalational Versus Intravenous Anaesthetic Regimen

  • Salman Maqbool Department of Anaesthesiology & Intensive Care,Rawal General and Dental Hospital,Rawal Institute of Health Sciences, Islamabad
  • Muhammad Alam Department of Surgery,Rawal General and Dental Hospital,Rawal Institute of Health Sciences,Islamabad
  • Ayesha Ayesha Department of Anaesthesiology & Intensive Care,Rawal General and Dental Hospital,Rawal Institute of Health Sciences, Islamabad
Keywords: Sevoflurane, Propofol, Laparoscopic cholecystectomy, Fast Track criteria

Abstract

Background: To compare inhalational anaesthetic
regimen with intravenous regimen with regard to
post operative recovery after laparoscopic
cholecystectomy
Methods: In this comparative study 166 patients
were selected by lottery and assigned into two
groups. Induction was done with sevoflurane 8% in
50% nitrous oxide in oxygen (group-A) and propofol
2mg/kg (group-B).All patients had volume controlled
ventilation and standard monitoring.Before shifting
Fast Track criteria was used inside operating room
and Post Anaesthesia Discharge score employed in
recovery area. Spearman’s Rank correlation was used
to check interdependence between the two recovery
scores i.e.Fast-Track criteria and Post Anaesthesia
Discharge score
in both groups.
Results: Fast track criteria and post op anaesthesia
scores were equal in both groups.Inhalation
induction(group-A) was slightly slower as compared
to intravenous induction with propofol (group-B)
but a higher incidence of un-expected
movement/cough was noted during propofol
induction as compared to sevoflurane. ASA physical
status classes of both groups are identical. Though
different anaesthesia techniques were used in both
groups while standardizing anaesthetic maintenance
factors and per-operative medications, no clinical
superiority in recovery times was noted in
ambulatory laparoscopic cholecystectomy. The value
of correlation co-efficient(r) was .372 and .556
respectively in both groups and significant at 0.01
level.

Published
2019-05-02
How to Cite
1.
Maqbool S, Alam M, Ayesha A. Post- Operative Recovery Profile after Laparoscopic Cholecystectomy: Comparing Inhalational Versus Intravenous Anaesthetic Regimen. JRMC [Internet]. 2May2019 [cited 8Aug.2020];23(1):38-2. Available from: http://journalrmc.com/index.php/JRMC/article/view/1090