A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam

Background: One of the minor obstitrical procedures is dilation and curettage; pain usually occurs during it. Consequently, an anesthetic drug desires sufficient analgesia, brisk onset, recovery.
 Objective: To evaluate two groups combinations {midazolam 0.08mg/kg – ketamine (0.5mg/kg)} propofol with (1mg/kg) –fentanyl dose (1mcg /kg)}, in hemodynamic parameters, scoring recovery characteristics thus finding optimal combination which can be applied all along operation.
 Patients Methods: It was taken100 patients weregoing through dilatation & curettage approximately 15-30 min. Duration enrolled after ethical committee approval Erbil 2022, it divided into 50 each. Baseline anesthesia maintained, were haphazardly selected to get 1mg/kg 1 mcg/kg fentanyl (First group), midazolam 0.5 mg/kg (Second group) as a bolus induce for maintenance. Then. scores, Aldrete signs assessed procedure. Finally, results arranged inspected statistically Student's unpaired t-test chi-square test.
 Results: BP (systolic, diastolic) PR significantly higher Group 2 compared 1. No significant difference found regarding parameters: sedative level at 3-5 minutes (p = 0.499) duration operation 0.105).
 Conclusion: group (propofol -fentanyl) superior (midazolam–ketamine) may good option uterine dilation, –fentanyl) provides analgesia surgical intervention accurate like awakening time response verbal commands.