Munawar A Rana
Scientific Tracks Abstracts: Surgery Curr Res
Background: �There is no one way of giving anaesthetics and my way is the right way.� Thence anaesthetics for gastrointestinal tract endoscopies could be done in more than one ways. One of them is by using propofol alone; another is giving propofol in combination with opiates and other sedatives. Aim: To compare recovery time and patient satisfaction in patients having gastrointestinal endoscopies in a South Australian hospital by giving anaesthetic with propofol alone or propofol with combination of fentanyl and/or midazolam. Method: A Prospective observational study with Propofol alone titrated to the patient�s anaesthetic needs in contrast to propofol used along with fentanyl and/ or midazolam in 130 outpatients undergoing gastrointestinal endoscopies. Recovery times, patient satisfaction scores and quality of anaesthesia were observed for each regimen after they were titrated to the anaesthetist�s satisfaction of anaesthesia for the patient. Results: Patients treated with propofol alone recovered on average 4 minutes earlier than those treated with opiates and / or midazolam along with propofol. This however did not compromise the quality of anaesthesia in patients who were treated with propofol alone. Conclusions: Propofol alone can provide equally good anaesthetic to the patients undergoing gastrointestinal endoscopies when compared with anaesthetic given in the form of Propofol along with Fentanyl and/ or midazolam. There was a small time advantage in recovery time, which could lead to advantages in staffing costs in recovery. Less use of poly-pharmacy could also prevent the many adverse outcomes of the drugs, and their costs. In addition it could potentially decrease human errors while working more efficiently.
