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Narcotics have also been used for attenuation of pressor response during laryngoscopy and intubation and are believed to provide a comfortable recovery from anaesthesia.[1]Ideally the recovery should be smooth and gradual and free from pain, postoperative nausea and vomiting (PONV), shivering, deep sedation or respiratory depression and should enable a shorter stay in recovery room.

In addition, there should not be any major complications related to airway or cardiovascular system during recovery.

Intraoperatively, any untoward incident requiring emergency intervention was recorded and treated symptomatically.

At the end of operation, neuromuscular blockade was reversed using neostigmine 0.05 mg/kg and glycopyrrolate 0.01 mg/kg and extubation was done when the patients got fully awake.

Because no single drug is ideal, two or more drugs are used in combination to provide balanced anaesthesia. It is a common practice among anaesthesiologists to include a small dose of narcotic analgesic as part of anaesthetic technique.

These narcotic agents in addition to providing analgesia also minimizes the requirement for potent anaesthetic agent during induction and maintenance of anaesthesia.

Anaesthesia was maintained with propofol infusion and 67% nitrous oxide in oxygen.BACKGROUND AND AIM: Narcotics have been used since long as a component of balanced anaesthesia, thus minimizing the anaesthetic requirement both during induction and maintenance as well as attenuating the pressor response during laryngoscopy and intubation.Equally significant is their role in provision of smoother recovery period by minimizing postoperative pain.MATERIALS AND METHODS: The present study configured one hundred adults patients of American Society of Anaesthesiologists (ASA) grade 1 or 2 of either sex scheduled to undergo elective open cholecystectomy and were randomly assigned to receive fentanyl (group F; n = 50) or butorphanol (group B; n = 50).Both group were premedicated with midazolam 0.04 mg/kg intravenously followed by injection fentanyl 2 mcg/kg or butorphanol 40 mcg/kg.The present study configured one hundred adults patients of American Society of Anaesthesiologists (ASA) grade 1 or 2 of either sex scheduled to undergo elective open cholecystectomy and were randomly assigned to receive fentanyl (group F; = 50).