Propofol based total intravenous anesthesia versus sevoflurane based inhalation anesthesia: The postoperative characteristics in oral and maxillofacial surgery

Şimşek, Hasan; Kocatürk, Özlem; Demetoğlu, Umut; Gürsoytrak, Burcu

doi:10.1016/j.jcms.2020.07.002

Cited by 8 publications

(13 citation statements)

References 13 publications

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“…Anesthesia induction in both A and B groups was induced by intravenous injection of propofol 1 mg/kg fentanyl 5 g/kg and vecurbromine 0.1 mg/kg. After oxygen and nitrogen removal for 2 min, the two groups were intubated through the mouth with open sight, followed by Ohmeda S/5 anesthesia machine and volume control ventilation (VCV) mode [ 17 ]. Tidal volume (VT) was l0-15 ml/kg, RRl8 times/min, suction/respiration ratio (1 : E ) = 1 : 2, oxygen flow rate was 1.5 L/min, and respiratory rate was changed to 24–30 times/min after the establishment of carbon dioxide pneumoperitoneum, and blood gas analysis was performed.…”

Section: Methodsmentioning

confidence: 99%

[Retracted] Application of Intravenous Anesthesia in Laparoscopic Hiatal Hernia Repair of Children

Zhu

Yang

et al. 2022

Contrast Media & Molecular Imaging

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In order to solve the stress problem in laparoscopic hiatal hernia repair of children, improve surgical safety, and reduce surgical risk, this study compared the perioperative changes of epinephrine, norepinephrine, IL-6, IL-10, and hemodynamics in children undergoing laparoscopic surgery under intravenous general anesthesia and general anesthesia combined with an epidural block. In this study, 40 children aged 1–3 years who planned to undergo laparoscopic ortopexy and those who planned to undergo laparoscopic high ligation of hernia sac, aged 23.84 1.6 months and weighed 14.9 1.1 kg, were randomly divided into general anesthesia combined with the epidural block group (group A) and a total intravenous anesthesia group (group B), with 20 subjects in each group. The results are as follows: There were no differences in age, gender, body weight, anesthesia time, pneumoperitoneum duration, and functional time between the two groups. Cytokines: Compared with T0, the levels of IL-6 in T2, T3, T4, and T5 groups were significantly increased ( P < 0.01). IL-10 levels: T2, T3, T4, and T5 groups were further increased, and the difference was statistically significant compared with T0 ( P < 0.01). There was no difference between groups ( P > 0.05). The recovery time in group B was shorter than that in group A ( P < 0.01), and the total amount of propofol and fentanyl in group B was less than that in group A ( P < 0.01). Through research on intravenous anesthesia treatment, it has been proved that total intravenous anesthesia can relieve perioperative pressure, reduce intravenous injection, and reduce the recovery time of children. However, its effect on cytokines is not obvious, so intravenous anesthesia is the most appropriate anesthesia mode in laparoscopic hiatal hernia repair surgery, which has practical significance.

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Section: Methodsmentioning

confidence: 99%

[Retracted] Application of Intravenous Anesthesia in Laparoscopic Hiatal Hernia Repair of Children

Zhu

Yang

et al. 2022

Contrast Media & Molecular Imaging

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“…12 TIVA has also previously been found to have significant benefits including decreased bleeding (in endoscopic sinus surgery), shorter operative times, decreased pain scores, and decreased post-operative nausea and vomiting. [11][12][13][14][15] TIVA also has recently scored higher than anesthetic inhalational agents in patient satisfaction surveys. 13 There are currently no discrete guidelines on what type of general anesthesia should be used on patients with OSA.…”

Section: Comparing Results To Current Literaturementioning

confidence: 99%

Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea

Sagalow

Stewart

Estephan

et al. 2022

Ann Otol Rhinol Laryngol

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Introduction: To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia. Patients and Methods: OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system. Results: A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane ( P < .0001). Non-OSA patients recovered faster than OSA patients when undergoing inhalational anesthesia by 46.76 minutes and TIVA by 18.58 minutes ( P < .0001 and P = .0907, respectively). Non-OSA patients with a MSBS < 3 and ≥3 had a shorter recovery time compared to OSA patients when both underwent sevoflurane anesthesia (57.27 minutes, P < .0001 and 56.23 minutes, P = .040, respectively). Non-OSA patients with a MSBS of <3 had a decrease in recovery time of 26.68 minutes when compared to OSA patients who underwent TIVA ( P = .0004). Conclusions: When utilizing TIVA over inhalational anesthesia, patients with OSA have significantly increased benefit in terms of reduced Phase I recovery times as compared to Non-OSA patients.

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“…The problems raised by the clinical tolerance to general anesthesia in OSCC patients can be found elsewhere [46,47]. Besides the different immediate postoperative characteristics induced by the choice of anesthesia [48], specific protocols may change the risk of post-surgical recurrence of cancer, as suggested in various preclinical models (review in Cata et al [45]). The different anesthetics and/or analgesic regimen used in oral surgery can produce direct effects on OSCC cells [49][50][51].…”

Section: Anesthesics and Analgesicsmentioning

confidence: 99%

Therapeutic Perspectives for the Perioperative Period in Oral Squamous Cell Carcinoma (OSCC)

Galmiche¹,

Saidak²,

Bettoni³

et al. 2022

Front. Oral. Health

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The perioperative period is the relatively short window of time, usually measured in days or weeks, around the surgical procedure. Despite its short duration, this time period is of great importance for cancer patients. From a biological point of view, the perioperative period is complex. Synchronous with primary tumor removal, surgery has local and distant consequences, including systemic and local inflammation, coagulation and sympathetic activation. Furthermore, the patients often present comorbidities and receive several medical prescriptions (hypnotics, pain killers, anti-emetics, hemostatics, inotropes, antibiotics). Because of the complex nature of the perioperative period, it is often difficult to predict the oncological outcome of tumor resection. Here, we review the biological consequences of surgery of Oral Squamous Cell Carcinoma (OSCC), the most frequent form of primary head and neck tumors. We briefly address the specificities and the challenges of the surgical care of these tumors and highlight the biological and clinical studies that offer insight into the perioperative period. The recent trials examining neoadjuvant immunotherapy for OSCC illustrate the therapeutic opportunities offered by the perioperative period.

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Propofol based total intravenous anesthesia versus sevoflurane based inhalation anesthesia: The postoperative characteristics in oral and maxillofacial surgery

Cited by 8 publications

References 13 publications

[Retracted] Application of Intravenous Anesthesia in Laparoscopic Hiatal Hernia Repair of Children

[Retracted] Application of Intravenous Anesthesia in Laparoscopic Hiatal Hernia Repair of Children

Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea

Therapeutic Perspectives for the Perioperative Period in Oral Squamous Cell Carcinoma (OSCC)

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