Korean J Anesthesiol.  2013 Mar;64(3):223-228. 10.4097/kjae.2013.64.3.223.

Comparison of recovery profiles of propofol and sevoflurane anesthesia with bispectral index monitoring in percutaneous nephrolithotomy

• Orhon ZN
• Devrim S
• Celik M
• Dogan Y
• Yildirim A
• Basok EK

• KMID: 1767331
• DOI: http://doi.org/10.4097/kjae.2013.64.3.223

Abstract

BACKGROUND
The aim of the study was to evaluate the comparative effects of propofol infusion versus sevoflurane for maintenance of anesthesia with respect to hemodynamics, recovery characteristics, nausea and vomiting in patients undergoing percutaneous nephrolithotomy.
METHODS
Forty American Society of Anesthesiologists physical status I-II patients, aged between 22 and 65 years were randomly divided to receive either intravenous anesthesia with propofol (group P) or sevoflurane (group S). Cardiovascular variables, peripheral oxygen saturation (SpO2), end-tidal carbon dioxide (ETCO2), bispectral index (BIS) and train-of-four (TOF) values were recorded at intervals throughout the procedure. Time to spontaneous respiration, eye opening, extubation, obey commands, hand squeezing, Aldrete Score > 9 and the incidence of postoperative nausea and vomiting were recorded.
RESULTS
Early recovery times [spontaneous respiration (P = 0.002), eye opening (P = 0.006), extubation (P = 0.013), obey commands (P < 0.05), hand squeezing (P = 0.005)] were significantly longer in group P. The incidence of vomiting was significantly higher in group S (P < 0.05). Hemodynamic parameters, levels of SpO2, ETCO2, and BIS and TOF values were not significantly different between the groups (P > 0.05).
CONCLUSIONS
The present study which adjusted sevoflurane concentration and propofol infusion rate according to BIS values revealed that maintenance of anesthesia with sevoflurane is associated with faster recovery than anesthesia with propofol. Propofol resulted in a significantly lower incidence of postoperative nausea and vomiting. Hemodynamic parameters and levels of SpO2 and ETCO2 were comparable between the groups during percutaneous nephrolithotomy.

Keyword

Percutaneous nephrolithotomy; Propofol; Sevoflurane

MeSH Terms

Aged
Anesthesia
Anesthesia, Intravenous
Carbon Dioxide
Consciousness Monitors
Eye
Hand
Hemodynamics
Humans
Incidence
Methyl Ethers
Nausea
Nephrostomy, Percutaneous
Oxygen
Postoperative Nausea and Vomiting
Propofol
Respiration
Vomiting
Carbon Dioxide
Methyl Ethers
Oxygen
Propofol