Author/Authors :
Kamal, Manal Ain-Shams University - Faculty of Medicine - Department of Anesthesiology, Intensive Care, and Pain Management, Egypt , Sayed Hussien, Noha Ain-Shams University - Faculty of Medicine - Department of Anesthesiology, Intensive Care, and Pain Management, Egypt , Aboulseoud, Abdelkhalek Ain-Shams University - Faculty of Medicine - Department of Anesthesiology, Intensive Care, and Pain Management, Egypt
Abstract :
Background: Coughing not only causes significant patient discomfort, but it may also cause undesirable hemodynamic and surgical complications. We compared the effect of sevoflurane or propofol anesthesia on the recovery profile in pediatric patients undergoing herniotomy and on early resumption of normal activity. Patients and methods: Fifty patients aged 4-10 years undergoing herniotomy were randomly allocated to receive either sevoflurane (sevo) or propofol (PPF) for maintenance of anesthesia. Assessments included time to eye opening, response to commands, orientation, discharge from recovery room and actual discharge to home. The ability to resume normal activities on the first postoperative day and coughing and during early and late recovery (24 hours postoperatively) were also recorded. Results: There was no difference between propofol and sevoflurane group with respect to demographic data and early recovery profile. The time to discharge from recovery room and time to discharge to home was significantly shorter in propofol group (P 0.001). The incidence coughing during the emergency period was significantly higher in the sevoflurane group than the propofol group (P - 0.022 and 0.049, respectively). Conclusion: The use of propofol maintenance anesthesia in pediatrics was associated with faster discharge from the recovery room, discharge to home and less coughing during emergence from anesthesia than sevoflurane maintenance anesthesia. There was no difference in the resumption of normal activity and coughing in the first 24 hours postoperatively.
