Talisetti Jamuna, Karra Naga Sai Suraj
BACKGROUND
The commonly used intravenous (I.V.) Induction agents in anaesthetic practice are propofol, Thiopentone, Ketamine. But haemodynamic instability is common like use of ketamine results in tachycardia and hypertension while propofol and thiopentone results in hypotension. But ideally an induction agent should provide hypnosis, amnesia, analgesia without undesirable cardiac and respiratory depression. So here a combination of induction agents was used. This study was conducted to compare the hemodynamic effects of propofol-ketamine combination as induction agents to propofol-thiopentone Combination.
MATERIALS AND METHODS
This study was carried out at Sri Venkateswara Medical College Tirupathi. Sixty ASA 1 and 2 patients in the age group of 18-50 years, undergoing elective surgery under general anaesthesia were enrolled for this study and were randomly allotted into two groups (A and B) of 30 each. Group A was induced with propofol-thiopentone and Group B was given propofol-ketamine combination. The hemodynamic parameters- heart rate, systolic, diastolic and mean arterial pressures were monitored starting from baseline up to 10 minutes.
RESULTS
There is statistically significant difference of mean systolic blood pressure at pre intubation, fourth and seventh minute (p<0.05) between two groups. But there was no statistically significant difference between two groups in mean diastolic pressure. Whereas in mean arterial pressure there was statistically significant difference in two groups at pre intubation, first minute (p<0.01) and at seventh minute (p<0.05). The heart rate was high in group A when compared to group B at first, four, seven, ten minutes after intubation.
CONCLUSION
Administration of ketamine with propofol was comparatively better in maintaining the hemodynamic stability after induction as compared to Thiopentone-propofol combination.
