J Med Assoc Thai 1999; 82 (8):770

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Recovery After Total Intravenous Anesthesia (TIV A) Using Propofol and Inhalation Anesthesia (lA) Using Halothane in Day Case Surgery
Santawat U Mail, Lertakyamanee J , SvasdiXuto O

The aims of this study were to compare recovery by clinical tests, the Perceptual Speed
Test (PST) and the· Ball Bearing Test (BBT), home recovery, side effects and satisfaction of
anesthesia between total intravenous anesthesia using propofol and inhalation anesthesia using
halothane in day case surgery and to determine average cost per case of each technique from the
provider's the perspective.
Forty patients were randomly allocated into TIV A and IA groups. The anesthetic times
were 42.1 ± 26.47 minutes and 37.6 ± 14.75 minutes respectively.
Recovery was assessed by the time to orientation, sitting up, standing up and to success
in obtaining baseline values of the PST & BBT. The observer was blinded to the anesthetic technique
that the patient received. Recovery tests showed no difference between the two groups. The
recovery times of TIV A and IA as assessed by the PST and BBT were 1.2 ± 0.41 and 1.1 ± 0.31
hour respectively.
From a home questionnaire, both groups showed no difference in the first 2-3 hours of
home recovery, incidence of side effects and satisfaction of anesthesia. When asked about the
difficulty in getting home, no TIV A patients complained of sleepiness whereas 6/16 IA patient
did (p = 0.018).
The average cost per case of TIVA and IA was 642.15 and 363.15 bahts respectively.
Key word: Anesthetic Technique, Total Intravenous Anesthesia, Inhalation Anesthesia, Propofol, Halothane, Surgery, Day Case, Outpatient

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