Background: The four components of
general anesthesia either inhalational
or TIVA are loss of consciousness/
amnesia, analgesia, blunting of auto-
nomic reflex responses, and muscle
relaxation. Epinephrine, which is used
in large doses routinely during lipo-
suction, may be responsible for tachy-
cardia, dysrythmias, premature ven-
tricular contractions (PVCs) and fluc-
tuation in blood pressure due to sys-
temic absorption.
Aim: In our study we aimed to com-
pare Inhalational anesthetic technique
with sevoflurane and TIVA with
propofol in small volume liposuction
surgery concerning patient intraoper-
ative Heart Rate and Blood Pressure.
Methods: Forty cases scheduled
for small volume liposuction less than
4 liters for abdomen, flanks and
body were involved in this random-
ized, prospective, controlled tri-
al. Cases were randomized equal-
ly into two groups. Group A
(sevoflurane group): anesthesia main-
tained by inhalational anethetic
sevoflurane. Group B (TIVA group):
anesthesia was maintained by
propofol.
Results: Intraoperative heart rate and
mean arterial blood pressure at base
line were insignificantly different be-
tween both groups (p value
>0.05) while at 15, 30, 45,60, 75,90,
105,and120 minutes were significantly
lower in group B group as opposed to
group A (p value