Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery

Autor: Félix R. Montes, Ismael E. Rincón, Juan C. Giraldo, Julio E. Trillos, Hernán Charris, María V. Vanegas, José D Rincón
Rok vydání: 2002
Předmět:
Atropine
Continuous infusion
Male
Scoring system
Time Factors
Methyl ethers
Fentanyl
Bolus (medicine)
Piperidines
Extubation
Controlled clinical trial
Anesthesia
Single-Blind Method
Drug use
Prospective Studies
Middle aged
Propofol
Priority journal
Ambulatory Surgery
inhalation
education.field_of_study
Morphine
Intravenous anesthesia
Dose calculation
Patient satisfaction
Single blind procedure
Single-blind method
Middle Aged
Ondansetron
Neostigmine
Clinical trial
Randomized controlled trial
Anesthetics
Inhalation
Anesthesia
Intravenous
Female
Isometheptene
Etilefrine
Ear nose throat disease
Hypotension
Intravenous
Anesthetics
Intravenous
Human
medicine.drug
Adult
Methyl Ethers
medicine.medical_specialty
Adolescent
Vomiting
Clinical article
Minimum lung alveolus concentration
Population
sevoflurane
Remifentanil
Pain
Nursing
volatile
Article
Health status
Anesthesia recovery period
Sevoflurane
Orientation
Bradycardia
medicine
Humans
education
Elective surgery
Aged
Anesthetics
University hospital
Intermethod comparison
business.industry
Drug infusion
Time factors
Cornea reflex
Ambulatory surgical procedures
Otorhinolaryngologic Surgical Procedures
Surgery
Opioids
Anesthesiology and Pain Medicine
Otorhinolaryngology
Ambulatory Surgical Procedures
Surgical patient
Otorhinolaryngologic surgical procedures
Anesthesia Recovery Period
Anesthetic
Cisatracurium
Length of stay
Anesthesia induction
business
Controlled study
Prospective studies
Zdroj: Repositorio EdocUR-U. Rosario
Universidad del Rosario
instacron:Universidad del Rosario
ISSN: 0952-8180
DOI: 10.1016/s0952-8180(02)00367-7
Popis: Study Objective: To compare the recovery characteristics of two widely used anesthetic techniques: remifentanyl-propofol and sevoflurane-fentanyl in a standardized ambulatory population. Design: Randomized, single-blinded study. Setting: University-affiliated medical center. Patients: 50 ASA physical status I and II patients undergoing elective ambulatory otorhinolaryngeal surgery. Interventions: Patients were randomized two groups to receive total intravenous anesthesia (TIVA group) with remifentanil and propofol or sevoflurane-fentanyl (SF group). TIVA patients received induction with propofol 1.5 mg/kg intravenously (IV) and remifentanil 0.5 ?/kg IV. The anesthesia was continued with a continuous infusion of propofol 100 ?g/kg/min and remifentanil 0.0625-0.25 ?g/kg/min. The SF group received, at induction, fentanyl 2 ?g/kg followed by propofol 1.5 mg/kg IV. Maintenance was obtained with 1 to 1.5 minimum alveolar concentration of sevoflurane and bolus of fentanyl 1 ?g/kg IV as needed. Measurements and Main Results: Early recovery times (eye opening, response to commands, extubation, orientation, operating room stay after surgery, and Aldrete score ?9) and patient satisfaction were similar between the two groups. Postanesthetic discharge scoring system (PADSS) ? 9 was significantly shorter for the TIVA group (135.9 ± 51 vs. 103 ± 32 min) (p less than 0.01) but this difference was not associated with a shorter postanesthesia care unit (PACU) length of stay. Conclusion: Early recovery times are comparable between total intravenous anesthesia and sevoflurane-based anesthesia. Even though patients in the TIVA group achieved home readiness criteria in a significantly shorter time, this technique does not shorten PACU length of stay, which depends instead on multiple nonmedical and administrative issues. © 2002 by Elsevier Science Inc.
Databáze: OpenAIRE
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