Comparison of intravenous propofol anesthesia and inhalational sevoflurane anesthesia recovery times in gynecologic laparoscopy
| Autor: | Ganem, Eliana Marisa [UNESP], Vianna, Pedro Thadeu Galvão [UNESP], Fabris, P. [UNESP], Moro, M. [UNESP], Nascimento, P. [UNESP], Castiglia, Yara Marcondes Machado [UNESP] |
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| Přispěvatelé: | Universidade Estadual Paulista (Unesp) |
| Jazyk: | portugalština |
| Rok vydání: | 1999 |
| Předmět: |
clinical article
propofol [Hipnotics] propofol premedication adult atracurium sevoflurane sufentanil [Analgesics opioids] continuous infusion sevoflurane [Anesthetics volatile] laparoscopic surgery anesthesia level intravenous drug administration sufentanil female gynecologic surgery midazolam anesthetic recovery arousal inhalational drug administration nitrous oxide plus oxygen human laparoscopy [Surgery gynecological] |
| Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| Popis: | Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:19:43Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:29:12Z : No. of bitstreams: 1 2-s2.0-0032991112.pdf: 64976 bytes, checksum: 002ec902b133a10226dab80c3e5a13bb (MD5) Made available in DSpace on 2014-05-27T11:19:43Z (GMT). No. of bitstreams: 0 Previous issue date: 1999-03-19 Backgrounds and Objectives: Both continuous venous anesthesia with propofol and inhalational anesthesia with sevoflurane propitiate fast arousal with few side effects. The aim of this study was to compare the arousal and post anesthestic recovery times in patients submitted to these two agents. Methods: Forty three patient aged 18 to 50 years, physical status I or II, submitted to gynecological laparoscopy were distributed in two groups: G1 - propofol in continuous infusion of 115 μg.kg -1.min -1 and G2 sevoflurane. All the patients were pre-medicated with 7.5 mg midazolam, sufentanil 0.5 μg.kg -1, propofol 2 mg.kg -1, atracurium 0.5 mg.kg -1, N 2O in 50% of oxygen in a no-rebreathing system. The depth of the anesthesia and arousal time were assessed by the Bispectral index (BIS). The time between end of anesthesia and eye opening, time for command response and time for orientation were also evaluated. Results: The times recorded in minutes were: G1 - eye opening 8.2 ± 2.9, command response 8.6 ± 3.1, orientation 9.8 ± 3.4, recovery 31.6 ± 3.8; G2 - eye opening 4.5 ± 3, command response 4.9 ± 3.4, orientation 6.2 ± 3.4, recovery 66 ± 8. Except the recovery time, all the values were larger in G1. Conclusions: Both intravenous propofol or inhalational sevoflurane were considered excellent anesthetic techniques as to recovery time and recovery room discharge. Sevoflurane provided an earlier arousal with a longer recovery room stay as compared to propofol. Dept. de Anestesiologia FMB - UNESP Distrito de Rubiao Junior, 18618-000 Botucatu, SP Dept. de Anestesiologia FMB - UNESP Distrito de Rubiao Junior, 18618-000 Botucatu, SP |
| Databáze: | OpenAIRE |
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