Comparison of postoperative quality in sevoflurane versus propofol- ketamine anesthesia for outpatient laparoscopy

ABSTRACT

Outpatient laproscopic surgery, put the anesetheologist in challenge for either total intravenous anesthesia [TIVA] or inhalational anesthesia with sevoflurane, which gives rise to rapid recovery. This study shows a comparison in postoperative quality between propofol in combination with ketamine-group [1] and sevoflurane group [2] for forty patients undergoing laproscopic procedures[n=20]. The differences between both groups as regard nausea visual analogue scoee [VAS], nausea VAS >75, postoperative nausea and vomiting [PONV], and N/V treatment were significantly higher in group [1] with also higher incidence of dreaming state but the pain VAS and analgesic requirements were significantly higher in group[2] Postoperative haemodynamic or respiratory changes were statistically insignificant. It is concluded that sevoflurane anesthesia is better than propofol-ketamine combination in the anesthetic management of outpatient laproscopic surgery as it provides rapid recovery, no PONV, but less postoperative analgesia which can be overcomed by giving patients a long acting non-steroidal analgesic near the end of surgery