title: Comparison of total intravenous anesthesia using propofol and inhalational anesthesia using isoflurane for controlled hypotension in functional endoscopic sinus surgery.
abstract: BACKGROUND
  An important requirement during functional endoscopic sinus surgery is to maintain a clear operative field to improve visualization during surgery and to minimize complications.
  
  
  METHODS
  We compared total intravenous anesthesia using propofol with inhalational anesthesia using isoflurane for controlled hypotension in functional endoscopic sinus surgery. It was a prospective study in a tertiary hospital in India. Forty ASA physical status I and II adult patients (16-60 years) were randomly allocated to one of two parallel groups (isoflurane group, n = 20; propofol group, n = 20). The primary outcome was to know whether total intravenous anesthesia using propofol was superior to inhalational anesthesia using isoflurane for controlled hypotension. The secondary outcomes measured were intraoperative blood loss, duration of surgery, surgeon's opinion regarding the surgical field and the incidence of complications.
  
  
  RESULTS
  The mean (±SD) time to achieve the target mean blood pressure was 18 (±8) minutes in the isoflurane group and 16 (±7) minutes in the propofol group (P = 0.66). There was no statistically significant difference (P = 0.402) between these two groups in terms of intraoperative blood loss and operative field conditions (P = 0.34).
  
  
  CONCLUSIONS
  Controlled hypotension can be achieved equally and effectively with both propofol and isoflurane. Total intravenous anesthesia using propofol offers no significant advantage over isoflurane-based anesthetic technique in terms of operative conditions and blood loss.
authors: Department of Anaesthesia and Critical Care, Christian Medical College and Hospital, Vellore, India.
authors: Saravanan P
authors: SP
authors: Ankichetty
authors: Manickam
authors: M
authors: Ponniah
authors: Vt
authors: V
authors: Cherian
authors: Sarah
authors: S
authors: Thomas
authors: Kamal
authors: K
authors: Kumar
authors: L
authors: L
authors: Jeslin
authors: K
authors: K
authors: Jeyasheela
authors: Naveen
authors: N
authors: Malhotra