IN DAY COMPARISON OF TWO ANESTHETIC TECHNIQUES WITH OUTCOME CARE SURGERY
Abstract
Introduction: There are many anesthetic techniques such as general, regional, spinal, epidural, caudal, hypotensive, inhalation, nerve blocks, total intravenous and regional intravenous used for multiple surgical procedures. There is controversial in effect of anesthetic technique on perioperative outcomes. Central neuraxial blocks including epidural, spinal and caudal anesthesia are regional anesthesia techniques. Other use of regional anesthesia techniques including reduced side effects, pain control, improved cardiac and pulmonary function, decreased blood loss and shortened stay in the post anesthesia care unit. In this growing world, day care surgery in the patient being discharged from the hospital on the same day has become popular modality of treatment. In this fast speed of life, adoption of nuclear family need of early return to work, and resumption of daily routine chores to maintain social which have propelled this treatment modality to newer heights. Anesthesia for day?care surgeries may require administration of general, local and regional anesthesia or monitored anesthesia care supplemented with sedation. Availability of newer drugs has contributed in advancements in anesthesia techniques largely to the progress of day?care surgery.
Aim: The aim is to compare two anaesthesia techniques for obese patients in day care surgery.
Material and Method: This is prospective study which is carried out in Dept. of Anesthesiology at Rohilkhand Medical College and Hospital, Bareilly (UP), during the period of 1 year. All paediatric patients which undergoing circumcisions were included in this study. Patient’s queries regarding anesthesia and surgery were sought. Detail history of patients with lab routinely investigation like CBC, Creatine urine R/M etc. 60 Patients in each group with 30 patients not having any responsible adult at their homes were including in this study. Standard monitors SPO2, NIBP, ECG and Respiratory rate were attached. Every patient received 500 ml Ringer Lactate IV before surgery. inj. Ondansetron 4 mg, inj. Ranitidine 50 mg i.v. Fentanyl 2 mcg/kg i.v and inj Midazolam 1 mg i.v. 3 minutes prior to induction.
Results: All the data were recorded and each of those variables was summarized by mean and standard deviation. Paired t test was applied for comparing the two main groups. p value less than 0.05(p < 0.05) have been considered as statistically significant. As p value is not significant in Mean surgical time and mean anaesthesia time were compared. Induction of anesthesia with Propofol produced a fall in B.P in this study.
Conclusion: Nowadays Ambulatory surgery for obese patients is an upcoming field. New technology and methods are developed to improve early recovery and complication free anaesthesia and it also help to developed decrease patient load in hospitals.
