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7 - Comparison of propofol with sevoflurane in laryngeal mask airway applicated urological procedures
A. Başgül, G.U. Sivrikaya, B. Ekşioğlu, M. Bektaş, A. Hancı
OBJECTIVE: In our study, the effects of anaesthesia with propofol or sevoflurane on haemodynamic parameters and recovery quality was compared in laryngeal mask airway (LMA) applicated patients undergoing short urological procedures.
STUDY DESIGN: After the approval by the Medical Ethics Committee, 38 patients in ASA /-// were randomized into 2 groups. Anaesthesia was induced with fentanyl (1.5 meg.kg ~!) and propofol (3 mg.kg }) in Group I, 02 + N20 (30 % + 70 %) and sevoflurane (6 %) in Group II and LMA was applicated to all patients. Maintanence of anaesthesia was established with propofol infusion (3 mg.kg 7. h ~) in Group I and with sevoflurane (%2) in Group II. Haemodynamic parameters at 2 min interval, awakening and recovery characteristics were compared. Studentst test and Anova were used for the statistical analyses and p<0.05 was considered as significant.
RESULTS: Haemodynamic parameters were stable in both groups. But the diastolic blood pressure values were significantly lower in Group I than Group II at 4. at 8. minutes. Time to head lift up and to tell own name were significantly shorter in Group I. Recovery quality was "very good" 68 % of patients in Group I and 63 % of patients in Group II.
During the anaesthesia with sevoflurane or propofol in LMA applicated patients undergoing short urological procedures, haemodynamic stability was maintaned and recovery quality was evaluated as very good.
Keywords: Laryngeal mask airway, sevoflurane, propofol.
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