2024, Vol. 7, Issue 3, Part B
Efficacy of isoflurane versus sevoflurane in lumbar spinal surgery under general anesthesia
Author(s): Sabiha Mahbuba Rimi, Masud Ahmed and Md. Ehsanul Haque
Abstract: Background: This study have assessed the comparative efficacy of Isoflurane and Sevoflurane in terms of their intraoperative hemodynamic stability, recovery profile, postoperative complications, and stay length in the post-anesthetic care unit (PACU) to provide valuable insights into the choice of volatile anaesthetic agents for Decompression and Stabilization surgery due to Prolapse of Lumbar Intervertebral Disc (PLID) procedures in Bangladesh.
Methodology: With an analytical cross sectional study design, this research have conducted in Combined Military Hospital, Dhaka among 60 patients with decompression and stabilization surgery due to PLID under general anesthesia. Patients were randomly divided in to 2 groups, where Group A (30 patients) received Sevoflurane and Group B (30 patients) received Isoflurane.
Result: Systolic and diastolic blood pressure found to reduce in Isoflurane group from 15 minutes post-induction. Heart rate increased significantly in Isoflurane group from 30 minutes post-induction. Mean arterial pressure fluctuation was more prominent in Isoflurane group. Sevoflurane group demonstrated earlier recovery for airway reflex, eye opening, obeying commands, achieving orientation, and achieving Modified Aldrete Score of 9 or more. Sevoflurane group also exhibited significantly shorter stay in PACU discharge readiness and delayed first analgesic requirement compared to Isoflurane group. Incidence of complications, such as nausea, drowsiness, dizziness and airway hyperactivity was higher in Isoflurane group, but blurred vision, shivering, irregular pulse, and choking were exclusive to Sevoflurane group.
Conclusion: Sevoflurane provides better anesthesia with hemodynamic stability and allows for faster emergence and recovery with less complication compared to Isoflurane.
DOI: 10.33545/26643766.2024.v7.i3b.494
Pages: 110-114 | Views: 127 | Downloads: 66
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How to cite this article:
Sabiha Mahbuba Rimi, Masud Ahmed, Md. Ehsanul Haque. Efficacy of isoflurane versus sevoflurane in lumbar spinal surgery under general anesthesia. Int J Med Anesthesiology 2024;7(3):110-114. DOI: 10.33545/26643766.2024.v7.i3b.494