Desflurane versus sevoflurane for laparoscopic gastroplasty in morbidly obese patients

Vallejo, Manuel C.; Sah, Neera; Phelps, Amy L.; O’Donnell, John M.; Romeo, Ryan C.

doi:10.1016/j.jclinane.2006.04.003

Cited by 67 publications

(49 citation statements)

References 20 publications

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“…23,24 Eye pain scores did not differ significantly between the groups in our study, which is also in accordance with previous studies. 25,26 These results suggest that there are no significant differences in the degree of PONV or postoperative pain between patients receiving sevoflurane or desflurane.…”

Section: Discussionmentioning

confidence: 75%

Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study

Mikuni

Harada

Yakushiji

et al. 2015

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 75%

Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study

Mikuni

Harada

Yakushiji

et al. 2015

Can J Anesth/J Can Anesth

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“…[13][14][15][16][17][18] We observed a statistically significant difference in time required for eye opening between the two treatment groups (weighted mean difference [WMD]: -3.10 min; 95% CI: -5.13 to -1.08). Patients who received desflurane required a significantly shorter time for eye opening than patients who received sevoflurane.…”

Section: Desflurane Vs Sevofluranementioning

confidence: 93%

“…In seven trials, desflurane was compared with sevoflurane for maintenance of anesthesia. 3,[13][14][15][16][17][18] Two studies compared the recovery profiles of patients given sevoflurane vs isoflurane for maintenance of anesthesia. 19,20 Another two studies compared the recovery parameters of patients given intravenous anesthesia with those given propofol and inhalational anesthesia.…”

Section: 13-22mentioning

confidence: 99%

“…2. Three studies used acceptable methods of randomization, 17,18,20 and four studies clearly described the method of allocation concealment. 3,13,20,21 Three studies did not mention the blinding procedure, 15,19,22 and only one reported no blinding of the outcome assessors.…”

Section: 13-22mentioning

confidence: 99%

“…Seven RCTs compared recovery outcomes of patients given desflurane vs sevoflurane for maintenance of anesthesia, 3,[13][14][15][16][17][18] and six trials evaluated the time required for eye opening. [13][14][15][16][17][18] We observed a statistically significant difference in time required for eye opening between the two treatment groups (weighted mean difference [WMD]: -3.10 min; 95% CI: -5.13 to -1.08).…”

Section: Desflurane Vs Sevofluranementioning

confidence: 99%

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Postoperative recovery after anesthesia in morbidly obese patients: a systematic review and meta-analysis of randomized controlled trials

Liu

Cherng

Chen

et al. 2015

Can J Anesth/J Can Anesth

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Purpose Obese patients present a challenge to safe general anesthesia because of impaired cardiopulmonary physiology and increased risks of aspiration and acute upper airway obstruction. Since studies are lacking regarding the postoperative effects on recovery from general anesthesia in morbidly obese patients, we conducted a systematic review and meta-analysis of recovery outcomes in morbidly obese patients who had undergone general anesthesia.Source We systematically searched the PubMed, EMBASE TM , Cochrane, and Scopus TM databases for randomized controlled trials that evaluated the outcome of anesthesia with desflurane, sevoflurane, isoflurane, or propofol in morbidly obese patients. Using a random effects model, we conducted meta-analyses to assess recovery times (eye opening, hand squeezing, tracheal extubation, and stating name or birth date), time to discharge from the postanesthesia care unit (PACU), and the incidence and severity of postoperative nausea and vomiting (PONV). Principal findings We reviewed results for 11 trials and found that patients given desflurane took less time: to respond to commands to open their eyes (weighted mean difference [WMD] -3.10 min; 95% confidence interval (CI): -5.13 to -1.08), to squeeze the investigator's hand (WMD -7.83 min; 95% CI: -8.81 to -6.84), to be prepared for tracheal extubation (WMD -3.88 min; 95%

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Randomized clinical trial on the influence of anaesthesia protocol on intestinal motility during laparoscopic surgery requiring small bowel anastomosis

Corte

Delrue

Vanfleteren

et al. 2012

British Journal of Surgery

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Desflurane versus sevoflurane for laparoscopic gastroplasty in morbidly obese patients

Cited by 67 publications

References 20 publications

Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study

Effects of changing from sevoflurane to desflurane on the recovery profile after sevoflurane induction: a randomized controlled study

Postoperative recovery after anesthesia in morbidly obese patients: a systematic review and meta-analysis of randomized controlled trials

Randomized clinical trial on the influence of anaesthesia protocol on intestinal motility during laparoscopic surgery requiring small bowel anastomosis

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