Clinical assessment of propofol anaesthesia in short gynecological surgical procedures: a comparative study with thiopentone

ABSTRACT

75 patients mean age 24.9 SD 8 years of ASA grade 1, were included in the study from patients who were to undergo minor gynaecological procedures. They were divided into two groups Group A received propofol and group B received thiopentone for induction of anaesthesia. Blood pressure was recorded before induction, 2 minutes after induction and at three minutes intervals thenceforth recordings. Also respiratory rate was recorded by visual observation. The induction dose and time taken, unwanted events and subjective assessment of quality of induction were recorded, as were the presence and duration of apnoea. Maintenance doses and timing, untoward events such as movement, and a subjective assessment of control of depth of anaesthesia were noted by the anaesthetist. The duration of surgery was recorded together with the time from start of induction to the end of surgery [the anaesthetic time]. Recovery time was measured from the time of closure of nitrous oxide to the time the patient took to recognize the time, date and place which meant complete orientation. Any side effect during recovery were noted as well. And any changes of the cardiovascular system and airway and respiratory system stability were noted. Propofol took longer to render patient asleep, gave more incidence of pain on injection and the patient moved In response to surgical stimulation. On the other hand the patients blood pressure was more stable with less changes