gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Impact of ketamine or propofol on quality of recovery after laparoscopic surgery in Iraqi women


Abstract

Author(s): Eesa Hamad Abbood, Sharara Fadhil Abbood, Hajer Alaa Obeid, Ayat Sahib Mohammed, Ashwaq Najemaldeen Abbas*, Sinan Forat Hussein, Saif M. Hassan

Introduction: It is important to recognize that the recovery process following surgery and anesthesia can be influenced by a number of factors. These may include the patient's condition, the specific procedure performed, the type of anesthesia administered, and the potential adverse effects. It is worth noting that while ketamine is a dissociative anesthetic that produces sedation, immobility, pain relief and amnesia, it is also misused for its hallucinogenic properties. Similarly, while propofol is an intravenous anesthetic used for procedural sedation and considered safe during pregnancy, it can cross the placenta and lead to central nervous system and respiratory depression in newborns. Aim: The study assesses the quality of recovery in Iraqi women based on the duration of recovery, the incidence of nausea and vomiting, and the prevalence of post-surgery drowsiness induced by either ketamine or propofol. Methods: A prospective two-armed Study. All collected data were saved anonymously, and informed consent was requested from all patients. A total 88 women were divided into two groups, 64patients have used ketamine as an anesthetic in laparoscopic surgery. 22patients have used propofol as an anesthetic in laparoscopic surgery Results: In this study, we analyzed the effect of both propofol and ketamine on the duration of recovery in minutes with both age and weight, we noticed in all the results, either ketamine or propofol, that it was there is a non-significant direct relationship between age and recovery time in minutes and between weight and recovery time in minutes. The study of both ketamine and propofol on the recovery period after laparoscopic surgery showed that propofol was better than ketamine because the recovery period was less than the recovery period with ketamine. Conclusion: Surgery and anesthesia recovery is challenging and depends on patient, surgical, and anesthetic characteristics, as well as painful sequelae and pharmacological side effects. Recent studies on anesthesia and operation recovery have focused on physiological endpoints, recovery lengths, and adverse consequences like morbidity and death. These parameters should be checked, but rarely consider the patient.