A comparison of sevoflurane and remifentanil-propofol anesthesia in patients undergoing total gastrectomy

Objective To compare the efficacy of sevoflurane inhalation and remifentanil-propofol anesthesia in patients undergoing total gastrectomy.Methods Forty ASA classⅠor Ⅱ patients with gastric cancer were divided into sevoflurane inhalation anesthesia(group S)and remifentanil-propofol intravenous anesthesia(group P),with 20 cases each.Perioperative hemodynamic veriables,bispectral index(BIS)values and end-tidal concentration of sevoflurane were continuously monitored.The time of recovery from anesthesia and adverse reactions of anesthesia were recorded as well.Results Compared with those before anesthesia,BP and HR were significantly decreased(P0.05).The depth of anesthesia in both groups was maintained well with BIS in 45-60 and vital signs were stable during operation.The recovery from anesthesia was quicker in group P than that in group S.The incidences of restlessness and couphing were obviously lower in group P than those in group S(P0.05).Conclusion Either sevoflurane inhalation or remifentanil-propofol intravenous anesthesia can be used safely in total gastrectomy.