COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.

  Background:  Propofol alone produces effective anesthesia, but several respiratory and cardiovascular complications are observed with it. Propofol, along with ketamine, is known to reduce the side effects and produce a longer duration of anesthesia. This study aims to compare the efficiency of...

Full description

Bibliographic Details
Main Authors: Soubhagya Kumar Das, Nagendra Kumar Rajsamant, Chittaranjan Thatei, Satyajit Jena
Format: Article
Language:English
Published: Student's Journal of Health Research 2023-12-01
Series:Student's Journal of Health Research Africa
Subjects:
Online Access:https://sjhresearchafrica.org/index.php/public-html/article/view/915
_version_ 1797373978755465216
author Soubhagya Kumar Das
Nagendra Kumar Rajsamant
Chittaranjan Thatei
Satyajit Jena
author_facet Soubhagya Kumar Das
Nagendra Kumar Rajsamant
Chittaranjan Thatei
Satyajit Jena
author_sort Soubhagya Kumar Das
collection DOAJ
description   Background:  Propofol alone produces effective anesthesia, but several respiratory and cardiovascular complications are observed with it. Propofol, along with ketamine, is known to reduce the side effects and produce a longer duration of anesthesia. This study aims to compare the efficiency of propofol alone and propofol and ketamine in combination for producing ambulatory anesthesia. Method:  An observational comparative study was conducted prospectively. 100 patients participated in the study. They were divided into two groups. Group A was given propofol alone, and Group B was given propofol along with ketamine. The hemodynamic stability, duration of analgesia, and effectiveness of anesthesia were compared in both groups. Results:  The average dose of induction for group A was 2 mg, and for group B was 1.6 mg. The average time for recovery from the induction dose for group A was 3 minutes, and for group B was 10 minutes. The average time of analgesia for group A was 9 minutes, and for group B, it was 49 minutes. Group B had improved hemodynamic stability and a longer duration of analgesia. Conclusion:  From the findings of the study, it can be concluded that the propofol-ketamine combination for anesthetic gives improved hemodynamic stability, effective anesthesia, and a longer duration of analgesia compared to only propofol. The time of recovery from the induction dose was prolonged in the case of the combination compared to propofol alone. Recommendation:  Propofol with a combination of ketamine produces effective anesthesia with a reduced adverse drug reaction, hence it should be preferred over propofol alone for ambulatory anesthesia.
first_indexed 2024-03-08T18:59:15Z
format Article
id doaj.art-bf29859dc9e246b992013e3288bc566d
institution Directory Open Access Journal
issn 2709-9997
language English
last_indexed 2024-03-08T18:59:15Z
publishDate 2023-12-01
publisher Student's Journal of Health Research
record_format Article
series Student's Journal of Health Research Africa
spelling doaj.art-bf29859dc9e246b992013e3288bc566d2023-12-28T08:42:48ZengStudent's Journal of Health ResearchStudent's Journal of Health Research Africa2709-99972023-12-0141210.51168/sjhrafrica.v4i12.915COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.Soubhagya Kumar Das0Nagendra Kumar Rajsamant1Chittaranjan Thatei2Satyajit Jena3Assistant Professor, Department of Anaesthesiology, SCB Medical College and Hospital, Cuttack, Odisha, India. Assistant Professor, Department of Surgery, SCB Medical College, Cuttack, Odisha, India.Assistant Professor, Department of CTVS, SCB Medical College, Cuttack, Odisha, IndiaAssistant Professor, Department of Obstetrics and Gynaecology, SCB Medical College, Cuttack, Odisha, India,   Background:  Propofol alone produces effective anesthesia, but several respiratory and cardiovascular complications are observed with it. Propofol, along with ketamine, is known to reduce the side effects and produce a longer duration of anesthesia. This study aims to compare the efficiency of propofol alone and propofol and ketamine in combination for producing ambulatory anesthesia. Method:  An observational comparative study was conducted prospectively. 100 patients participated in the study. They were divided into two groups. Group A was given propofol alone, and Group B was given propofol along with ketamine. The hemodynamic stability, duration of analgesia, and effectiveness of anesthesia were compared in both groups. Results:  The average dose of induction for group A was 2 mg, and for group B was 1.6 mg. The average time for recovery from the induction dose for group A was 3 minutes, and for group B was 10 minutes. The average time of analgesia for group A was 9 minutes, and for group B, it was 49 minutes. Group B had improved hemodynamic stability and a longer duration of analgesia. Conclusion:  From the findings of the study, it can be concluded that the propofol-ketamine combination for anesthetic gives improved hemodynamic stability, effective anesthesia, and a longer duration of analgesia compared to only propofol. The time of recovery from the induction dose was prolonged in the case of the combination compared to propofol alone. Recommendation:  Propofol with a combination of ketamine produces effective anesthesia with a reduced adverse drug reaction, hence it should be preferred over propofol alone for ambulatory anesthesia. https://sjhresearchafrica.org/index.php/public-html/article/view/915KetaminePropofolAmbulatory Analgesia
spellingShingle Soubhagya Kumar Das
Nagendra Kumar Rajsamant
Chittaranjan Thatei
Satyajit Jena
COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
Student's Journal of Health Research Africa
Ketamine
Propofol
Ambulatory Analgesia
title COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
title_full COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
title_fullStr COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
title_full_unstemmed COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
title_short COMPARING CLINICAL EFFICACY OF PROPOFOL KETAMINE COMBINATION VERSUS PROPOFOL ALONE IN AMBULATORY ANAESTHESIA: AN OBSERVATIONAL COMPARATIVE STUDY.
title_sort comparing clinical efficacy of propofol ketamine combination versus propofol alone in ambulatory anaesthesia an observational comparative study
topic Ketamine
Propofol
Ambulatory Analgesia
url https://sjhresearchafrica.org/index.php/public-html/article/view/915
work_keys_str_mv AT soubhagyakumardas comparingclinicalefficacyofpropofolketaminecombinationversuspropofolaloneinambulatoryanaesthesiaanobservationalcomparativestudy
AT nagendrakumarrajsamant comparingclinicalefficacyofpropofolketaminecombinationversuspropofolaloneinambulatoryanaesthesiaanobservationalcomparativestudy
AT chittaranjanthatei comparingclinicalefficacyofpropofolketaminecombinationversuspropofolaloneinambulatoryanaesthesiaanobservationalcomparativestudy
AT satyajitjena comparingclinicalefficacyofpropofolketaminecombinationversuspropofolaloneinambulatoryanaesthesiaanobservationalcomparativestudy