Introduction and Purpose: We compared propofol and ketafol for sedation in patients who underwent shoulder arthroscopy under anesthesia with interscalene and suprascapular blocks. We evaluated both of agents the intraoperative haemodynamic effects, sedation efficiency, postoperative recovery times and the time to discharge to the service. We aimed to achieve an effective sedation with stable hemodynamics, resulting in rapid recovery with early onset.
Material Method: The study was carried out prospectively in a double-blind randomized study on ASA I and II patients aged 18-65, total of 42 shoulder surgeries planned. Anesthesia was provided to the patients by performing interscalene and suprascapular nerve block with USG. Group 1 (Propofol), 1 mg/kg propofol iv, in Group 2 (Ketofol), a mixture of ketamine-propofol was prepared in a 1:1 ratio, 1mg / kg ketofol iv was administered. Processing was started in both groups when RSS was 3. SBP, DBP, MABP, heart rate, O2 saturation, RSS, Face Scale were recorded throughout the case. The patients with an Aldrete score of 9 were terminated and sent to the service.
Conclusion: While a deeper and higher quality sedation was provided with ketafol, we achieved rapid onset and short-acting sedation with propofol. Both agents have different superior properties and can be used safely for sedation.
Key words: Brachial plexus block, ketofol, shoulder arthroscopy, propofol, sedation
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