Background: Smooth and rapid induction, optimal operating conditions and rapid recovery with mini... more Background: Smooth and rapid induction, optimal operating conditions and rapid recovery with minimal side effects such as nausea, vomiting, bleeding and post-operative pain are the characteristics of ideal anaesthetic. Objectives: The objective of the study was to compare the haemodynamic parameters and recovery characteristics of desflurane with sevoflurane. Materials and Methods: This was a prospective study conducted from January to December 2016. Using convenient sampling technique, a total of 40 adult patients of American Society of Anesthesiologists (ASA) physical status Grade I or II, aged between 18 and 60 years, of either sex, who were scheduled for elective day-care surgeries of <2 h duration under general anaesthesia were selected for the study after informed consent. All the patients were randomly allocated into one of the two groups using computer-generated random number table. Group I received induction with sevoflurane, while Group II was induced desflurane. Results: The baseline demographic analysis showed that the two groups did not differ significantly in age, weight, sex, ASA grade and operative times. During the course of surgery, heart rate was significantly low in Group II at 25, 30, 40 and 45 min than in Group I. Systolic and diastolic blood pressure was significantly low in group Desflurane as compared to sevoflurane. Group I showed significantly higher time for spontaneous eye opening and recalling names and recognising surroundings and post-operative complications compared to Group II. Conclusion: Desflurane has significantly better haemodynamic stability, post-operative recovery and less post-operative complications compared to sevoflurane.
Background: Airway management in patient with Facio-Maxillary injury is challenging due to disrup... more Background: Airway management in patient with Facio-Maxillary injury is challenging due to disruption of components of upper airway, and anesthesiologist has to share the airway with the surgeons. Submental Endotracheal Intubation is safe, simple and useful technique, where oral and nasal Endotracheal Intubation cannot be performed. It avoids tracheostomy and its consequent morbidity. Here is described a case of Submental endotracheal Intubation in a 52 years old patient with panfacial trauma (FMI). He was schedule for surgical reconstruction involving Maxilo-Mandibular Fixation. Intermittent intra-operative, dental occlusion was needed to check alignment of fractured segment. Patient had nasal bone fracture and crush injury to tongue and its challenging task for an anesthesiologist to manage such airway without further damage to upper airway. Several techniques have been proposed. In this case Submental endotracheal Intubation technique for surgery with the help of surgeon was used...
Background: Smooth and rapid induction, optimal operating conditions and rapid recovery with mini... more Background: Smooth and rapid induction, optimal operating conditions and rapid recovery with minimal side effects such as nausea, vomiting, bleeding and post-operative pain are the characteristics of ideal anaesthetic. Objectives: The objective of the study was to compare the haemodynamic parameters and recovery characteristics of desflurane with sevoflurane. Materials and Methods: This was a prospective study conducted from January to December 2016. Using convenient sampling technique, a total of 40 adult patients of American Society of Anesthesiologists (ASA) physical status Grade I or II, aged between 18 and 60 years, of either sex, who were scheduled for elective day-care surgeries of <2 h duration under general anaesthesia were selected for the study after informed consent. All the patients were randomly allocated into one of the two groups using computer-generated random number table. Group I received induction with sevoflurane, while Group II was induced desflurane. Results: The baseline demographic analysis showed that the two groups did not differ significantly in age, weight, sex, ASA grade and operative times. During the course of surgery, heart rate was significantly low in Group II at 25, 30, 40 and 45 min than in Group I. Systolic and diastolic blood pressure was significantly low in group Desflurane as compared to sevoflurane. Group I showed significantly higher time for spontaneous eye opening and recalling names and recognising surroundings and post-operative complications compared to Group II. Conclusion: Desflurane has significantly better haemodynamic stability, post-operative recovery and less post-operative complications compared to sevoflurane.
Background: Airway management in patient with Facio-Maxillary injury is challenging due to disrup... more Background: Airway management in patient with Facio-Maxillary injury is challenging due to disruption of components of upper airway, and anesthesiologist has to share the airway with the surgeons. Submental Endotracheal Intubation is safe, simple and useful technique, where oral and nasal Endotracheal Intubation cannot be performed. It avoids tracheostomy and its consequent morbidity. Here is described a case of Submental endotracheal Intubation in a 52 years old patient with panfacial trauma (FMI). He was schedule for surgical reconstruction involving Maxilo-Mandibular Fixation. Intermittent intra-operative, dental occlusion was needed to check alignment of fractured segment. Patient had nasal bone fracture and crush injury to tongue and its challenging task for an anesthesiologist to manage such airway without further damage to upper airway. Several techniques have been proposed. In this case Submental endotracheal Intubation technique for surgery with the help of surgeon was used...
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