Online ISSN: 2515-8260

Keywords : Day care surgery

Effect of propofol and Sevoflurane as anesthetic for short elective surgeries: A Prospective Comparative Study in a tertiary care Hospital,Telangana,India

Dr.Rodasi Ch, Dr.Medi Naga Padma,Dr.Sujay Kumar Parasa, Dr. Enugala Swarna, Dr.Kanchi Sneha .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 3, Pages 687-695

Introduction: Sevoflurane is one of the general anesthetic having  a  rapid  onset and offset of action. Hence anesthetist can control the depth of anesthesia rapidly. Intravenous propofol with rapid induction and  recovery  is a  popular  induction  agent nowadays for surgical anesthesia. Objectives: To compare the effect of sevoflurane and propofol for inducing anesthesia in short elective surgeries. Methods: The study was conducted at Government Medical College,Nizamabad,Telangana,India. Hundred patients prepared for elective short surgery were taken into the study. After pre-anesthetic medication, one group of patients were induced with : O2:N2O  (50:50)  +  Sevoflurane  3-4%  and the other group induced with:  O2:N20  (50:50)  +Propofol 3-5 mg/kg.Parameters like relavant intra-op details, ease of procedure, hemodynamic changes, recovery, and complication rate were compared between both groups.Results: Parameters like jaw opening, attempts for LMA and ease of insertion was comparable in both the groups . Time to loss of consciousness and time  to  LMA insertion was significantly shorter with Propofol. Mean pulse rate and MAP was significantly higher in Sevoflurane group.  Conclusion:  Inhaled Sevoflurane is better for LMA insertion and intra-operative hemodynamic profile during anesthesia was stable.Sevoflurane can be considered as an alternative induction agent when inhalational induction is required. We should keep in mind that  caution  still needs to be continued when sevoflurane is used.

Day Care Laparoscopic Cholecystectomy: A Prospective Study

Mohammed Arif, Shiv Kumar Bunkar, Rahul Yadav, Yogendra Singh Chundawat, Kalpana Agarwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2352-2359

Background: Laparoscopic cholecystectomy is a minimally invasive surgical procedure for removal of a diseased gallbladder. Rapid recovery after laparoscopic cholecystectomy and increasing experience with its post operative course has led to progressively shorter post operative period and the recent trend of day care surgery without an overnight stay at hospital. Now due to advances in anesthesia and surgical techniques, day surgery is the standard pathway of care for many complex patients and procedures traditionally treated through inpatient pathways. The purpose of present study is to evaluate feasibility and outcome of day care laparoscopic cholecystectomy in JLN Medical College & Hospital, Ajmer.
Material & Methods: This is a hospital based prospective study done on 50 patients undergoing laparoscopic cholecystectomy in Department of General Surgery at JLN HOSPITAL, Ajmer, Rajasthan from January 2020 to June 2021. Assessment of the post operative symptoms like nausea, vomiting, post operative pain was done in the recovery room itself. The discharged patients were followed up in surgical outpatient department on 2nd, 5th and 10th post operative day. Student’s t test, Fisher’s exact test were applied appropriately as per distribution of data. P-value<0.05 were considered statistically significant.
Results: Our study showed that the mean age of all the patients was 39.46 ± 10.06 years. 30% of all the patients were male, while 70% were female. Mean height was calculated to be 167.28 ± 6.89 cm. Mean weight was calculated to be 67.52 ± 10.47 kg and the mean BMI of the sample size was calculated to be 24.03 ± 2.69 kg/m2. It was found that the mean nausea & vomiting score was highest post-operatively than at discharge at least on 2nd day follow up (p value<0.05). The difference between the percentage of patients discharged and those not discharged was statistically significant (p value<0.05).
Conclusion: After undergoing the extensive research, collecting the data for the study purpose, analyzing the data, we could conclude that day-case laparoscopic cholecystectomy is feasible and safe and effective treatment for symptomatic gallstones