Authors : M. Parish , M. Oveisi , M. Niazi Ghazani , F. Moslemi and S. Rasooli
Abstract: While age increases, some procedures such as cataract are needed to be done as outpatient. Anesthesia should be such that the turn over of discharge is rapid. The objective of this study is to change recovery discharge method in elderly undergoing cataract surgery by TIVA in our hospital. Nightly patients in 2 groups more than 65 years old and ASA physical status II, III were studied. The induction of anesthesia performed with bolus dose of remifentanil 1 �g kg 1 and propofol 2 mg kg 1 and the intubation was done after cisatracorium 0.15 mg kg 1. In group 1, for maintenance of anesthesia remifentanil 0.05 �g/kg/min and propofol 60-100 �g/kg/min were infused. In group 2, a mixture of N2O+O2 50% each and isoflurane 1.5% were given to the patients. The criteria to be discharged from recovery were recorded in 2 groups. The age and gender were equal in both groups. Some data like duration of the surgery, return of breathing and the extubation time made no difference in both groups. From the end of surgery to the time of discharge from recovery all data such as eye opening, stating name and the time of ability to discharge had significant differences between 2 groups (p<0.0005). Total 15 patients in TIVA group and 22 in group isoflurane received ephedrine. The results of this study show that the time of recovery discharge in TIVA group using remifentanil and propofol is more rapid than isoflurane. This could result to a better turn over in the operating rooms.
M. Parish , M. Oveisi , M. Niazi Ghazani , F. Moslemi and S. Rasooli , 2008. Changing Recovery Discharge Method in Elderly Undergoing Cataract Surgery by TIVA in Nikoukari Hospital, an Ophthalmic Center. Research Journal of Biological Sciences, 3: 989-992.