مقارنة متعددة الاسس بين الايزوفلوران و البروبوفول كمساعد في التخدير باستخدام الريميفنتانيل كاساس تخديري

This study was carried out in the Department of anesthesia and reanimation at ALASSAD University Hospital in Lattakia during 2006-2007, and included (100 ) patients. (50) patients had a large operation done under general anesthesia with Isoflurane in addition to Remifentanil, whereas (50) patients had it with Propofol as adjuncts to Remifentanil-based Anesthesia. The results showed that anesthesia combining remifentanil with volatile hypnotics or total intravenous anesthesia (TIVA) with propofol was effective and well tolerated. Both Isoflurane and Propofol are suitable adjuncts to Remifentanil, and the applied dosages are clinically equivalent with respect to emergence and recovery. Both combinations should be appropriate, particularly in settings in which rapid recovery from anesthesia is desirable, such as fast talking and/or ambulatory surgery. Times of extubation, post anesthesia recovery and recovery room discharge were rapid. Emergence after Remifentanil-based anesthesia with Isoflurane is at least as rapid as with Propofol.