A COMPARISON OF RECOVERY CHARACTERISTICS OF SEVOFLURANE AND PROPOFOL–REMIFENTANIL ANESTHESIA IN GERIATRIC PATIENTS

摘要

Introduction: In this study we aimed to compare the recovery characteristics of propofol/remifentanil and sevofluran/remifentanil anesthesia in 100 geriatric patients undergoing urological procedures. Materials and Method: The patients were randomized to receive either propofol-remifentanil (group P) or sevoflurane-remifentanil (Group S) anesthesia. Recovery characteristics, the time to post-anesthetic discharge scoring system (PADSS) score and Aldrete score of 9 point, Digit Symbol Substitution Test (DSST) and Trieger Dot Test (TDT)values were compared between two groups. Results: Extubation time was significantly shorter in group P than in group S (5.3±2.9 min vs 7.8±3.8 min, p=0.038). The times of first eye opening, response to verbal commands and orientation were similar in both groups. The time of Aldrete score of 9 points (grup P: 14.2±3.6 min, group S: 16.3±4.5 min) and PADSS of 9 points (group P: 19.3±5.7 min, group S: 22.1±4.2 min) were also similar (p>0.05). Time to return to the normal value of DSST was significantly shorter in Group P compared with Group S, and TDT was similar in both groups (p>0.05). No significant differences were observed in the incidence of postoperative complications and VAS score (p>0.05). Conclusion: Both propofol-remifentanil and sevoflurane-remifentanil appears to be an adequate anesthesia in geriatric patients.