Comparison of the sevoflurane and propofol with remifentanil in ambulatory surgery [Remifentanil kullanilan günübirlik hastalarda sevofluran ve propofol kullaniminin karşilaştirilmasi]

We assesed induction properties, intraoperative hemodynamic responses and recovery profiles of propofol and sevoflurane using remifentanil for outpatient surgery. After atropine 0.5 mg IV, all patients are received remifentanil 1 µg kg-1 IV followed by 0.5 µg kg-1 min-1. Patients in Group I (n=25 received %8 sevoflurane via mask; whereas patients in Group II (n=25) received propofol 2 mg-1 kg-1 IV, followed by 9 mg-1 kg-1 hr-1. Five minutes after skin incision, infusion rates were decreased (sevoflurane to end-tidal %1, remifentanil to 0.25 µg-1 kg-1 min-1 and propofol to 6 mg-1 kg-1 hr-1). At the end of surgery all infusions were discontinued. Blood pressure and heart rate were recorded before induction, before and after intubation and incision every 5 min intraoperatively. At the end of surgery, remifentanil, propofol and sevoflurane were discontinued, recovery times, postoperative pain scores and side effects were recorded. Times to spontaneous respiration was longer in Group II whereas times for response to verbal commands and Aldrete score ? 9 were longer in Group I (p<0.05). Pain scores were higher in Group II (p<0.05). Times to able to ambulate and PADS were ? 9 longer in Group II (p<0.05). In conclusion; early recovery of ambulatory surgery patients is significantly shorter after propofol with remifentanil compared to sevoflurane with remifentanil.