Sevoflurane Maintained Anesthesia Induced with Propfol in Young Patients: Recovery Characteristics after ENT Surgery in Al-Marj Teaching Hospital - Al-Marj City – Libya
Keywords:
Propofol, Sevoflurane, Isoflurane, ENT, Hospitalized patientsAbstract
Background: Anesthesia in ENT poses a wide variety of problems; the acts performed are sometimes simple and very short or long and delicate. This study was aimed to study the quality of recovery profile of patients using general anesthesia (intravenous and inhaled anesthesia) after ENT surgeries at Al-Marj Teaching Hospital - Al-Marj City – Libya. Patients and methods: This was prospective, randomized study, was done in Al-Marj Teaching Hospital - Al-Marj City – Libya. Ethical Approval was taken from Qurina International University- Faculty of Medical Sciences Anesthesia & intensive care department and Al-Marj Teaching Hospital. A total of 150 patients from different gender and ages, were scheduled to enter ENT surgeries, their sociodemographic data was inquired and recorded. Perioperative vital signs were measured and recorded, maintenance and general anesthesia were given according to each operation and recorded. Operation end and recovery time, were recorded, the recovery assessment was done for each patients where measured and recorded. Statistical analysis by SPSS 22, chi square test to compare between operation and each variable of the study. Results : Our study shows the effect of general anesthesia on recovery of patients post ENT surgery as the use of propofol as induction agent and inhalation maintenance anesthetics (sevoflurane) as we found all the patients tend to full recover in less than half hour, move voluntary and breath smoothly, their conscious level was fully awake to majority of them with 84.7%, and significant relationship between operation and consciousness level (P value 0.004) as both propofol and sevoflurane meet these criteria due to their smooth and rapid onset of action with a shorter recovery period Conclusion: It conclude that the use of propofol as induction agent and sevoflurane as maintenance anesthetic agents can suitably and safely use in ENT surgeries, with significant statistical results and smooth and shorter recovery.
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