DAY CARE SURGERY: COMPARISON OF TWO ANAESTHETIC TECHNIQUES IN OBESE PATIENTS

Obese patients offer a major patient load on hospital setups. Extra stay in hospitals increases morbidity. It also increases financial load to the third party payers. In our study, we compared two techniques for the short procedures less than 30 minutes. A randomised double blind study was done amongst 60 patients, with obesity grade 1 [BMI up to 35Kgm 2 ], scheduled for day care surgery. We conducted surgeries less than 30 minutes, in our institute in 2 years, SRMSIMS, Bareilly. Both group received same techniques for induction inj. Midazolam 1mg, Fentanyl 2mcg/kg, Propofol 2mg/kg, Group P was maintained with Propofol 75-150mcg/kg/minute and second group S was maintained with variable concentration of Sevoflurane 1-4%. Patients of both groups received Oxygen 33% and Nitrous Oxide 67%in spontaneously breathing patients, with LMA in situ. Monitoring was done with BIS, NIBP, ECG, RR and HR. Changes in vital parameters were noted. Time for eye opening, obeying commands, Time to sit up and stand up were noted. Recovery following Modified Aldrete System was noted. 60 patients enrolled in our study, their datas were recorded and analysed according to SPSS analysis. Intraoperative hemodynamic stability was more in group S. Recovery profiles in both groups were almost similar. Group P developed less PONV than group S.