Mohammed Husyan Mohammed Jaabh , Sofyan M. Harahap , Helmia Farida
International Journal of Medical, Pharmacy and Drug Research(IJMPD), Vol-4,Issue-3, May - June 2020, Pages 9-15 , 10.22161/ijmpd.4.3.1
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Background: This research aimed to analyze the effects of sevoflurane and propofol on IFN-γ and IL-12, the study on patients with craniotomy surgery. The treatment is the anesthesia with sevoflurane or propofol for more than 2 hours. The levels of IFN-γ and IL-12 are measured just before induction of anesthesia and just after anesthesia with sevoflurane or propofol is stopped. Methods: The study design is an observational study by using pre-and-post design. The subjects are patients aged 30-55 years old who were undergoing craniotomy surgery for tumor removal at Dr. Kariadi Hospital. The differences in the means before and after the same anesthesia agent were analyzed with paired T-test if the data distribution is normal, or with the Wilcoxon rank-sum test if the data distribution is not normal. The difference in the means between the two different anesthesia agents was analyzed using an independent T-test if the data distribution is normal, or with the Mann-Whitney test if the data distribution is not normal. Results: It was observed that sevoflurane and propofol increased the level of IFN-γ and IL-12 but not significant. There were differences between IFN-γ and IL-12 before and after anesthesia with sevoflurane compared with propofol. Therefore, the hypothesis was accepted. This shows that the originality of this research has been statistically and empirically proved. Conclusion: The increase of both IFN-γ and IL-12 levels after anesthesia with propofol is significantly higher than those with sevoflurane. Propofol exerts a bigger pro-inflammatory response than sevoflurane in patients undergoing craniotomy surgery.