Anaesthesia for urological endoscopic procedures in adult outpatients.
The aim of this study was to establish whether propofol in combination with fentanyl or ketamine provides a good quality of anaesthesia and recovery time in urological endoscopic outpatient surgery. Sixty patients (ASA I-II) were assigned randomly to receive either 2.5 micrograms kg-1 fentanyl or 1 mg kg-1 ketamine. In both groups anaesthesia was induced with propofol 1.5 mg kg-1 and maintained with 7 mg kg-1 h-1. Patients breathed nitrous oxide and oxygen 3:2 spontaneously. Cardiovascular parameters were more stable after ketamine. The most important side effect was the presence of apnoea lasting longer than 60 s in 14 patients receiving fentanyl. The time to establish alertness was shorter in the ketamine group, who also had a better (P < 0.05) as well as post-anaesthetic recovery room score.
Fabbri
L P
LP
Department of Clinical Pathophysiology, University of Florence, Policlinico di Careggi, Italy.
Batacchi
S
S
Linden
M
M
Bucciardini
L
L
Fontanari
P
P
Venneri
F
F
Marsili
M
M
D000368:Aged; D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000009:adverse effects; D000762:Anesthesia Recovery Period; D004724:Endoscopy; D005283:Fentanyl / Q000009:adverse effects; D006801:Humans; D007649:Ketamine / Q000009:adverse effects; D008875:Middle Aged; D015742:Propofol; D014551:Urinary Tract / Q000601:surgery*
D007649:Ketamine; D005283:Fentanyl; D015742:Propofol