Author(s): Jayashree Sen, Bitan Sen, Vishnupriya Thella

Email(s): jayashree_sen@rediffmail.com

DOI: 10.52711/0974-360X.2026.00423   

Address: Jayashree Sen1*, Bitan Sen2, Vishnupriya Thella3
1Professor, Deptt. of Anaesthesia, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.
2Consultant Intensivist, Deptt of Critical Care Medicine, Artemis Hospital Gurgaon, India.
3Senior Resident, Deptt. of Anaesthesia, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.
*Corresponding Author

Published In:   Volume - 19,      Issue - 7,     Year - 2026


ABSTRACT:
Background: Total intravenous anaesthesia (TIVA) provides short-duration anaesthesia solely through the intravenous route, avoiding inhalational agents. Aim: To compare intra-operative characteristics of butorphanol versus fentanyl as co-induction agents with propofol in short duration ear, nose, throat (ENT) surgeries. Objectives: (1) Compare efficacy in analgesia and sedation. (2) Evaluate haemodynamic stability and side effects. Methods: A prospective randomized study in 60 ASA I–II patients aged 18–60 years undergoing short ENT procedures. Group B received propofol (2.5mg/kg) +butorphanol (40µg/kg) and Group F received propofol (2.5mg/kg) +fentanyl (1.5µg/kg). Analgesia, sedation, vitals, and complications were assessed. Results: Analgesic duration was longer in Group F (15.61± 2.06 min vs 6.53 ± 0.74). Sedation lasted longer in Group B (18.21 ± 3.86 min vs 5.75 ± 0.90). Haemodynamic differences were significant at 10 and 20 min. Conclusion: Fentanyl provided better haemodynamic stability and longer analgesia, whereas butorphanol produced deeper and longer sedation.


Cite this article:
Jayashree Sen, Bitan Sen, Vishnupriya Thella. Comparison of Butorphanol with Fentanyl as an Adjuvant with Propofol in Total Intravenous Anaesthesia for Short duration Surgeries in Ear Nose Throat (ENT). Research Journal of Pharmacy and Technology. 2026;19(7):2968-2. doi: 10.52711/0974-360X.2026.00423

Cite(Electronic):
Jayashree Sen, Bitan Sen, Vishnupriya Thella. Comparison of Butorphanol with Fentanyl as an Adjuvant with Propofol in Total Intravenous Anaesthesia for Short duration Surgeries in Ear Nose Throat (ENT). Research Journal of Pharmacy and Technology. 2026;19(7):2968-2. doi: 10.52711/0974-360X.2026.00423   Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2026-19-7-10


REFERENCE:
1.    Venkateswarlu P, Kumar A K. Comparative Study of Propofol with Ketamine and Propofol with Butorphanol for Total Intravenous Anaesthesia in Short Surgical Procedures. Indian J Anesth Analg. 2019; 6(3): 846-851
2.    Thiagarajan B.Total Intravenous Anaesthesia. Stanley Medical College. 2014.
3.    Dhamee MS, Gandhi SK, Callen KM et el. Morbidity at'ter outpatient anesthesia - a comparison of different endotracheal anesthetic techniques for laparoscopy. Anesthesiology. 1982; 57: A375.
4.    Nataf HE. Complications associated with ambulatory surgery. JAMA. 1980; 244: 1116.
5.    Kay B, Rolly G. ICI 35868 a new intravenous induction agent. Acta Anaes Belgica. 1977; 28: 303–16.
6.    Ghafoor H, Afshan G, Kamal R. General anesthesia with Laryngeal Mask Airway: Etomidate vs.propofol for hemodynamic stability. Open J Anesthesiol. 2012; 2: 161-5.
7.    Yousef GT, Elsayed KM. A clinical comparison of ketofol (ketamine and propofol [Downloaded free from http://www.ijciis.org on Friday, March 9, 2018, IP: 115.134.143.9
8.    Smith C, McEwan Al, Jhaveri. The interaction of fentanyl on Cp50 of propofol for loss of consciousness and skin incision. Anaesthesiology. 1994; 81: 820-828.
9.    Gharagozlou P, Hashemi E, DeLorey TM et al. "Pharmacological profiles of opioid ligands at kappa opioid receptors". BMC Pharmacology. 2006; 6 (1): 3. doi:10.1186/1471-2210-6-3.
10.    Fischer J, Ganellin CR. Analogue-based Drug Discovery.2006 John Wiley and Sons. p. 529. ISBN 978-3-527-60749-5.
11.    Vardanyan RS, Hruby VJ (March 2014). Fentanyl-related compounds and derivatives: current status and future prospects for pharmaceutical applications. Future Medicinal Chemistry. 2014;6 (4): 385–412. doi:10.4155/fmc.13.215.
12.    Stanley TH. The history and development of the fentanyl series. Journal of Pain and Symptom Management. 1992; 7 (3): S3 – S7. doi:10.1016/0885-3924(92)90047-L. PMID 1517629.
13.    Patel D, Sharma A S, Sonavane H. Comparative Assessment of Butorphanol, Fentanyl and Nalbuphine for Total Intravenous Anaesthesia in Patients Undergoing Laparoscopic Cholecystectomy. International Journal of Toxicological and Pharmacological Research. 2023; 13 (12); 110-115
14.    Z Al-Rifai, D Mulvey. Principles of total intravenous anaesthesia: practical aspects of using total intravenous anaesthesia.BJA Education. 2016; 16(8) 276–280. https://doi.org/10.1093/bjaed/mkv074.
15.    Stoelting RK, Hillier SC. Opioid Agonists and Antagonists.Pharmacology and Physiology in Anesthetic Practice. 4th ed.Philadelphia: Lippincott Williams and Wilkins; 2006; 1: 118-9.
16.    Rosow CE. Butorphanol in perspective. Acute Care. 1988; 12: 2-7.
17.    Auburn F, Salvi N, Coriat P, Riou B. Sex and age-related differences in morphine requirements for postoperative pain relief. Anaesthesiology. 2005; 103: 156-60.
18.    Trivedi A, Patel D.Comparison of Propofol with Butorphanoland Propofol with Fentanyl for Total Intravenous Anaesthesia in Short Surgical Procedures.Academia Anesthesiologica International. 2019; 4 (2)
19.    Rao MH, Satyanarayana V, Srinivas B, Muralidhar A, et al. Comparison of butorphanol and fentanyl for balanced anaesthesia in patients undergoing laparoscopic surgeries under general anaesthesia: A prospective, randomized and double-blind study. J ClinSci Res. 2013; 2: 8-15.
20.    Regmi NK, Khatri S, Datta PK. Comparison of Propofol-Ketamine Combination with Propofol-Butorphanol Combination for Total Intravenous Anaesthesia on Short Surgical Procedures. JNGMC 2014; 12: 34-9.
21.    Gupta, A et al. Comparative Evaluation of Ketamine - Propofol,Fentanyl - Propofol and Butorphanol-Propofol on Haemodynamics and Laryngeal Mask Airway Insertion Conditions. Journal of Anaesthesiology, Clinical Pharmacology. 2011; 27: 74–78.
22.    Mi WD, Sakai T, Singh H, Kudo T et al. Hypnotic endpoints vs. the bispectral index, 95% spectral edge frequency and median frequency during propofol infusion with or without fentanyl. Eur J Anaesthesiol. 1999; 16: 47–52. doi: 10.1046/j.1365-2346.1999.00421.x.
23.    Jakobsson J, Oddby E, Rane K. Patient evaluation of four different combinations of intravenous anaesthetics for short outpatient procedures. Anaesthesia. 1993; 48: 1005–7
24.    Ghabash M, Matta M, Kehhaleh J. Depression of excitatory effects of propofol induction by fentanyl. Middle East J Anesthesiol. 1996; 13: 419–25.
25.    Beverly K., Scott, D.A., Freiberger, D. et al.Butorphanol compared with fentanyl in general anaesthesia for ambulatory laparoscopy Can JAnaesth.1991: 38: 183.
26.    Sen J, Sen B. Hysteroscopic procedure as day care cases under TIVA with Dexmedetomidine vs Ketamine. Research Journal of Pharmacy and Technology. 2022; 15(4): 1785-0. doi: 10.52711/0974-360X.2022.00299

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