Vol. 3, Issue 8 (2014)

Background and Objectives: To assess the effectiveness of isoflurane and propofol in preserving anesthesia during day case surgery. Deciding on the best medication to send the patient home as soon as possible after surgery.

Methods: A randomised prospective study was carried out in the Department of Anaesthesia, Narayana Medical College, Nellore, Andhra Pradesh, India, following institutional approval, from January 2014 to October 2014, to ascertain which agent is best for making the patient street-fit as soon as possible following anaesthesia maintenance with either Propofol or Isoflurane for day case procedures.

Results: The mean ages of the 22 patients in groups PRP and ISF, respectively, were 26.5 and 28.8. The mean weight of patients in the PRP group was 47.35, whereas the ISF group's was 52.44. In group ISF, there were 9 men and 13 women, while group PRP had 8 men and 14 women. In groups PRP and ISF, the Phase I recovery time was 11.5 and 12 minutes, respectively. For groups PRP and ISF, the recovery times for Phase II were 30.65 and 60 minutes, respectively.

Conclusion: Propofol alone resulted in a quicker recovery, but during Phase I, both groups showed comparable gains. Phase II recovery time was significantly shortened with Propofol TIVA compared to Isoflurane maintenance anesthesia. TIVA with Propofol results in an earlier Home Readiness compared to Isoflurane maintenance, which is preferred for day case procedures.