EJMS

Abstract

Background: The four components of general anesthesia either inhalational or TIVA are loss of consciousness/amnesia, analgesia, blunting of autonomic reflex responses, and muscle relaxation. Epinephrine, which is used in large doses routinely during liposuction, may be responsible for tachycardia, dysrythmias, premature ventricular contractions (PVCs) and fluctuation in blood pressure due to systemic absorption. Aim: In our study we aimed to compare Inhalational anesthetic technique with sevoflurane and TIVA with propofol in small volume liposuction surgery concerning patient intraoperative Heart Rate and Blood Pressure. Methods: Forty cases scheduled for small volume liposuction less than 4 liters for abdomen, flanks and body were involved in this randomized, prospective, controlled trial. Cases were randomized equally into two groups. Group A (sevoflurane group): anesthesia maintained by inhalational anethetic sevoflurane. Group B (TIVA group): anesthesia was maintained by propofol. Results: Intraoperative heart rate and mean arterial blood pressure at base line were insignificantly different between both groups (p value >0.05) while at 15, 30, 45,60, 75,90, 105,and120 minutes were significantly lower in group B group as opposed to group A (p value <0.05). Conclusions: in small volume liposuction procedures, the use of TIVA in maintenance of anesthesia provided more hemodynamics stability as evidenced by lower HR and blood pressure than maintenance using inhalional anesthetic sevoflurane.