Comparison of propofol with sevoflurane in laryngeal mask airway applicated urological procedures

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. Student’st 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.
CONCLUSION: 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.

Laringeal Maske Yerleþtirilen Ürolojik Giriþimlerde Propofol ile Sevofluranýn Karþýlaþtýrýlmasý

GÝRÝÞ: Çalýþmamýzda, kýsa süreli ürolojik giriþimlerde laringeal maske yerleþtirilen hastalarda, propofol ve sevofluran ile saðlanan anestezinin hemodinamiye etkisi ve derlenme kalitesi karþýlaþtýrýldý.
MATERYAL ve METOD: Hastane Etik Kurulunun izniyle, ASA /-//, 38 olgu rastgele 2 gruba ayrýldý. Ýndüksiyon 1.5 mikrog.kg ‘‘ fentanil ve Grup I‘de 3 mg.kg ‘y propofol, Grup Il‘de %30+ %70 02+N20 ve %6 sevofluran ile saðlandý ve laringeal maske yerleþtirildi. Ýdame grup I‘de 3mg.kg ~ 1.saat ‘ propofol infüzyonu ve grup Il‘de %2 sevofluran ile saðlandý. 2‘þer dakika aralýklarla kaydedilen hemodinamik parametreler, uyanma ve derlenme parametreleri karþýlaþtýrýldý. Ýstatistiksel analizlerde student t testi ve Anova kullanýldý, p<0.05 anlamlý kabul edildi.
BULGULAR: Hemodinamik parametreler her iki grupta stabil seyretti, ancak 4. ve 8. dakikalarda grup I‘de diastolik kan basýncý, grup ll’ye göre anlamlý olarak düþük bulundu. Baþýný kaldýrma ve adýný söyleme zamanlarý grup I‘de anlamlý olarak kýsaydý. Uyanma kalitesi grup I‘de % 68, grup Il‘de % 63 olguda " çok iyi " bulundu.
SONUÇ: Kýsa süreli ürolojik giriþimlerde laringeal maske yerleþtirilen hastalarda sevofluran ve propofolle saðlanan anestezide hemodinamik stabilite korunmuþ ve uyanma kalitesi çok iyi olarak deðerlendirilmiþtir.