Comparison between the Effects of Sevoflurane Versus Isoflurane on the Haemodynamics During Arthroscopic Shoulder Surgeries, MOSTAFA ABDEL RAZEQ, AMANY AYAD, MOHAMED HUSEIN, HANY WAFEEQ and BASSIL HASSAN
Abstract
Background: Cerebral hypotension сап occur during shoulder surgeries in the seated position. In this study we tried to detect whether inhalationa] Sevolfurane or Isoflutane is preferred to improve hemodynamic stability during arthroscopic shoulder surgeries in beach-chair position.
Patients and Methods: 100 adult patients (of either sexes) presented for elective arthroscopic shoulder surgeries placed in the beach-chair position requiring general anaesthesia of at least 60 min, after approval from the institutional ethical committee and written informed consent was obtained from all of them. Patients were randomly allocated into two equal groups by simple randomization methods, sevofluraiie group [50 Patients received one MAC sevoflurane (2%)] and Іsoflurane Group [50 patients received one MAC isoflurane (12%)]. Continuous monitoring of heart rate (KR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) measured 5min after ETT intubation then every 5min till enubation.
Results: Regarding the mean value of HR, systolic BР, diastolic BP, and mean BР there are no significant differences between the sevoflurane group and the isoflurane group.
Conclusion: In shoulder arthroscopy in beach chair positon, we found that there is no preference between one MAC of Isofluran and one MAC sevoflurane as regard