Title

Comparative evaluation of total intravenous anaesthesia versus inhalational anaesthesia on postoperative recovery in elective abdominal surgery

Authors

Aditya Singh Chauhan¹, Brajesh Kumar², Nancy Ekka¹ & Sourabh Shrivastava^1,*

Affiliation

¹Department of Anaesthesiology, Gajra Raja Medical college Gwalior, Madhya Pradesh, India; ²Consultant Anaesthesiologist, Bansal Hospital, Sagar, Madhya Pradesh, India; *Corresponding author

Email

Aditya Singh Chauhan -E-mail: adityaschauhan88@gmail.com
Brajesh Kumar - E-mail: brajeshparihar1@gmail.com
Nancy Ekka - E-mail: drnancyekka21@gmail.com
Sourabh Shrivastava - E-mail: sourabhjitu@gmail.com

Article Type

Research Article

Date

Received February 1, 2026; Revised February 28, 2026; Accepted February 28, 2026, Published February 28, 2026

Abstract

The selection of anaesthetic technique markedly influences the quality and speed of postoperative recovery after abdominal surgery, yet no consensus exists on the optimal approach. Therefore, it is of interest to compare total intravenous anaesthesia (TIVA) using propofol–remifentanil with sevoflurane–fentanyl inhalational anaesthesia in 100 adults undergoing elective abdominal surgery. TIVA patients demonstrated significantly faster emergence, with shorter times to eye opening (7.1 ± 2.3 vs 10.2 ± 3.1 min) and extubation (8.8 ± 2.5 vs 12.7 ± 3.4 min; p < 0.001). Post-anaesthesia care unit (PACU) stay was reduced in the TIVA group (54.8 ± 13.2 vs 71.6 ± 17.4 min; p < 0.001) alongside lower postoperative nausea and vomiting (16% vs 40%) and agitation (8% vs 24%). Patient satisfaction was higher with TIVA (8.8 ± 1.0 vs 7.5 ± 1.5; p < 0.001), with postoperative pain and opioid consumption remaining comparable between groups. Overall, propofol–remifentanil TIVA offered faster, smoother recovery and greater comfort without compromising analgesia in elective abdominal surgeries.

Keywords

Total intravenous anaesthesia (TIVA), propofol, remifentanil, sevoflurane, postoperative recovery, postoperative nausea and vomiting, emergence agitation, patient satisfaction

Citation

Chauhan et al. Bioinformation 22(2): 927-930 (2026)

Edited by

Vini Mehta

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.