Comparison of the effects of sevoflurane and desflurane on hemodynamic,recovery and postoperative side effects in adult patients who had sinus and nasal surgery [Si̇nüs ve burun cerrahi̇si̇ uygulanan eri̇ş ki̇n hastalarda,sevofluran ve desfluranin hemodi̇nami̇,derlenme üzeri̇ndeki̇ etki̇leri̇ ve postoperati̇if yan etki̇leri̇n karşilaştirilmasi]

Background: while controlled hypotension is important to improve the surgical comfort and better the field of view at the operation side,rapid awakening and recovery is also important to have a fast control of the airway and follow the surgical complications of the patient who has sinus or nasal operation. in this study we aimed at comparing the effects of sevoflurane and desflurane in perioperative hemodynamics,postoperative recovery,and the side effects on perioperative hemodynamics,at postoperative recovery and side effects of sevoflurane and desflurane. material and methods: forty patients undergoing sinus and nasal operation were randomly divided into two groups. one of the groups was given sevoflurane (group s) and the other group desflurane (group d). general anesthesia was applied for both groups and remifentanil infusion was used as analgesia. general anesthesia was done by using these gases also remifentanil infusion given for analgesia to each group. after the surgery,scores of tracheal extubation,eye opening,obeying the comments and recovery time were noted. results: there were no differences regarding demographic data between two groups. the map values in group d was lower than the other group in intraoperative periods of 15.min,40.min,45.min,50.min,55.min,60.min,and 65 minutes respectively. the mac values of group d were lower than the other group as of the tenth minute of the surgery. there was no significant difference regarding the time to extubation,eye opening an orientation times,modified aldrete's scores,postoperative vas scores,postoperative nausea and vomiting between the two groups. conclusion: we have concluded that,use of remifentanyl with desflurane is more suitable compared to the use of remifentanyl with evoflurane in surgeries when deep hypotension is targeted.