Comparison of hemodynamic stability, bleeding, and vomiting in propofol-remifentanil and isoflurane-remifentanil techniques in septorhinoplasty surgery

Behzad Kazemi Haki; Javad Eftekhari; Vahid Alizadeh; Parasto Tizro

Jentashapir Journal of Cellular and Molecular Biology

Official Journal of Ahvaz Jundishapur University of Medical Sciences

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Comparison of hemodynamic stability, bleeding, and vomiting in propofol-remifentanil and isoflurane-remifentanil techniques in septorhinoplasty surgery

Author(s):

Behzad Kazemi Haki¹,

Javad Eftekhari²,

Vahid Alizadeh³,

Parasto Tizro^4,*

1B.S of Anesthesia of Dr. Tizro Surgical Center, - Tabriz University of Medical Science- Student Research Committee. Tabriz , Iran

2Anesthesiology Expert of Dr. Tizro Surgical center. Urmia , Iran

3Anesthesiology Expert of Dr. Tizro Surgical Center Urmia , Iran

4G.P of Dr. Tizro Surgical Center Urmia , Iran

Jentashapir Journal of Cellular and Molecular Biology:Vol. 5, issue 3; e94125

Published online:Jun 19, 2013

Article type:Research Article

Received:May 20, 2019

Accepted:Jun 19, 2013

How to Cite:Behzad Kazemi HakiJavad EftekhariVahid AlizadehParasto TizroComparison of hemodynamic stability, bleeding, and vomiting in propofol-remifentanil and isoflurane-remifentanil techniques in septorhinoplasty surgery.Jentashapir J Cell Mol Biol.5(3):e94125.

Abstract

Background: Due to prevalence of septorhinoplasty surgery in Iran and in the world, and the importance of anesthetic technique in bleeding and conducting an accurate and uncomplicated surgery, we decided to compare the hemodynamic stability, bleeding and recovery time with the two techniques in the surgical anesthetic propofol and isoflurane in septorhinoplasty.

Material and methods: This is a prospective, double-blind, and randomized trial study in which enrolled 60 patients undergoing septorhinoplasty surgery in class ASA I and ASA II. The patients were divided into two groups of 30 anesthetized with propofol and isoflurane. Then hemodynamics changes, bleeding and surgeon satisfaction were evaluated and recorded for both groups during surgery and after (recovery). Data were analyzed using SPSS V18.

Results: Of 60 patients, 40 were females and 20 males, with a mean age of 25 ± 2.3 years old. The patients had no underlying disease, and their anesthesia and surgical characteristics were similar. Bleeding mean was 155 ± 14.3 ml in the propofol group, and 164.12 ± 18.24 ml in the isoflurane group, which was not significantly different in terms of bleeding . There was a significant difference between recovery time and incidence of nausea and vomiting between the two groups (P0.05). The average duration of surgery in both groups was 179 ± 21 min.

Conclusion: The findings of this study showed that there were no significant differences between bleeding and hemodynamic stability in the two methods, and anesthesia and induction in both techniques can be used in septorhinoplasty surgery. However, since the recovery time was short and incidence of nausea and vomiting in anesthesia with propofol was less than isoflurane, it seemed that the use of propofol was better than isoflurane.

Keywords

: Hemodynamic stability

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