Noor Hussain.
Propofol (Diprivan) for Induction and Maintenance of Anaesthesia for day case short Gynaecological Procedures.
Pak Armed Forces Med J Jan ;45(2):43-6.

The use of propofol for induction and maintenance of anaesthesia by intermittent bolus injection with 50% nitrous oxide in oxygen in 62 unpremedicated female patients for day case short gynaecological procedures is persented. In 42 patients, anaesthesia was maintained by repeated bolus doses of propofol 25-50 mg, 2 min after induction and at intervals of 5 min thereafter with 50% nitrous oxide in oxygen. This technique provided good operating conditions in 57% of patients, adequate in 33% of patients and inadequate in 10% of patients. Movement in response to surgery was the main problem with this technique; Twenty patients were maintained with halothane after propofol induction. Maintenance with halothane was good in all patients. 2,5 mg/kg of propofel provided rapid and smooth induction of anaesthesia. The pain on injection was the main complication observed in 64% of patients when propofol was injected via a small vein on dorsum of hand. The duration of apnoea was clinically insignificant. The recovery was rapid, complete and symptom free after both these anaesthetic techniques.

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