Postoperative complications between ‘Total Intravenous Anesthesia with Propofol’ and ‘Sevoflurane Inhalation Anesthesia”
Abstract
Propofol that's generally used in total intravenous anesthesia (TIVA) has anti-oxidant and seditious inhibition parcels. It’s known that TIVA can drop postoperative nausea and vomiting (PONV) with little goods on pulmonary functions. Sevoflurane is a sweet-smelling, noninflammable, largely fluorinated methyl isopropyl ether used as an inhalational anesthetic for induction and conservation of general anesthesia. We've veritably many relative data regarding these two anesthetic agents. The aim of this study was to compare ‘total intravenous anesthesia with propofol’ and ‘sevoflurane inhalation anesthesia on postoperative complications. This retrospective study was conducted in Chattogram Maa-O-Shishu Hospital Medical College and different clinics, Chattogram, Bangladesh during the period from June 2019 to July 2020. In total 93 patients who had ENT surgeries previously were finalized as the total study population. Total patients were divided into 2 groups. In Group I there was 43 patients to whom total intravenous anesthesia with propofol (TIVA) had been used and in Group II there were 50 patients to whom sevoflurane inhalation anesthesia (SIA) had been used. Postoperative complications and recovery period were determined as tachycardia, bradycardia, hypertension, hypotension, recovery time, additional analgesia, and nausea-vomiting. For the patients who had surgeries under TIVA, the additional analgesia and nausea-vomiting incidences were found as 23.26% and 20.0% respectively and the recovery period was 12 minutes. On the other hand, for the patients who had surgeries under SIA, the additional analgesia and nausea-vomiting incidences were found as 20.0% and 34.0% respectively and the recovery period was 8 minutes. According to the analysis of complications regarding two different procedures, we found near about the similar performance. Although there was a difference between the lengths of recovery time that doesn’t a big issue to differ among the procedures. As it was a single-centered study with some unavoidable limitations, to get more specific information we would like to recommend conducting more studies in several places.
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