Salman Maqbool, Muhammad Alam, Ayesha Ayesha.
Post- Operative Recovery Profile after Laparoscopic Cholecystectomy: Comparing Inhalational Versus Intravenous Anaesthetic Regimen.
J Rawal Med Uni Jan ;23(1):38-42.

Background: To compare inhalational anaesthetic regimen with intravenous regimen with regard to post operative recovery after laparoscopic cholecystectomy Methods: In this comparative study 166 patients were selected by lottery and assigned into two groups. Induction was done with sevoflurane 8% in 50% nitrous oxide in oxygen (group-A) and propofol 2mg/kg (group-B).All patients had volume controlled ventilation and standard monitoring.Before shifting Fast Track criteria was used inside operating room and Post Anaesthesia Discharge score employed in recovery area. Spearman’s Rank correlation was used to check interdependence between the two recovery scores i.e.Fast-Track criteria and Post Anaesthesia Discharge score in both groups. Results: Fast track criteria and post op anaesthesia scores were equal in both groups.Inhalation induction(group-A) was slightly slower as compared to intravenous induction with propofol (group-B) but a higher incidence of un-expected movement/cough was noted during propofol induction as compared to sevoflurane. ASA physical status classes of both groups are identical. Though different anaesthesia techniques were used in both groups while standardizing anaesthetic maintenance factors and per-operative medications, no clinical superiority in recovery times was noted in ambulatory laparoscopic cholecystectomy. The value of correlation co-efficient(r) was .372 and .556 respectively in both groups and significant at 0.01 level.

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