Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 5, September-October 2019, Pages 1723-1730
 

Original Article

Comparative Study of the Effects of Intravenous Etomidate and Propofol Used for Induction of General Anesthesia

Ankita Joshi1, Suhasini Sonavdekar2, Olvyna D‘Souza3, Robin Gupta4

1,4Senior Resident, 2Associate Professor, 3Professor, Department of Anesthesia, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra 410206, India.

Choose an option to locate / access this Article:
60 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6519.33

Abstract

Aims and objectives: To compare hemodynamic responses and side effects while induction and intubation with intravenous etomidate and propofol. Material and Methods: We conducted a prospective, randomized, double-blind study, in which 100 patients undergoing elective surgery under general anesthesia were enrolled for the study. Patients were randomly distributed in two groups (50 in each group). Group P received propofol at 2 mg/kg and Group E received etomidate at 0.2 mg/kg. Results: When both the groups were compared it was found out there was statistically significant difference in Group P as compared to Group E in terms of decrease in HR , SBP , DBP, MAP, incidence of myoclonic movements and incidence of pain on injection. There was no overall complication in both groups. Conclusion: Induction of anesthesia with etomidate had more stable hemodynamic conditions as compared to propofol. There was significant reduction in heart rate and blood pressure leading to hypotension in propofol group while etomidate group had stable hemodynamics. Incidence and severity of pain on injection was more with propofol while incidence of myoclonus was more with etomidate. Overall, it was concluded that etomidate was a better choice for induction of anesthesia, only drawback being higher incidence of myoclonus.


Keywords : Hemodynamic responses; Etomidate; Propofol.
Corresponding Author : Suhasini Sonavdekar