Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment—A Crossover Comparison Between Propofol and Sevoflurane

Ohkushi, Keita; Fukuda, Ken‐ichi; Koukita, Yoshihiko; Kaneko, Yuzuru; Ichinohe, Tatsuya

doi:10.2344/15-00012.1

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…The reason being, sevoflurane gets rapidly eliminated after it is stopped as seen from blood-gas distribution coefficient of 0.69 and moreover there is 50% decrease in anaesthetic concentration of sevoflurane in less than 5 mins irrespective of duration of anaesthesia. 13 Similar results were observed by Singh et al and Ohkushi et al 9,16 Rapid recovery and psychological immaturity has been considered as a reason for emergence delirium following sevoflurane anaesthesia. 17 At just before extubation, significant number of patients were restless (RASS:1), 81% in sevoflurane group and 46.96% in propofol group (p value<0.001).…”

Section: Discussionsupporting

confidence: 59%

Comparison Between Total Intravenous Anesthesia (Tiva) With Propofol – Fentanyl and Balanced Anesthesia With Sevoflurane – Fentanyl in Terms of Hemodynamic Changes and Recovery Profiles During Laparoscopic Cholecystectomy

Dhungana¹,

Baral²,

Singh³

et al. 2022

JCMC

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Background: Sevoflurane and propofol are considered to be the agents of choice in laparoscopic surgery due to their smooth induction of anesthesia, hemodynamic stability, better recovery profile and less postoperative complications. The aim of study is to compare hemodynamic changes and recovery profile of propofol with sevoflurane-based anesthesia in laparoscopic cholecystectomy. Methods: Single blind comparative study was conducted among 132 patients aged 18-65 years, ASA-PS I & II undergoing laparoscopic cholecystectomy, randomized by computer generated random number table into two groups, 66 patients each- Group A patients induced with propofol 1.5-2.5 mg/kg IV and maintained with propofol 100-200 mcg/kg/min IV and Group B induced with sevoflurane and maintained with sevoflurane at minimum alveolar concentration of 0.7-1.3. Primary outcome were hemodynamic parameters (heart rate, systolic and diastolic blood pressure, mean arterial pressure) and recovery profile. Results: Intraoperative heart rate and diastolic blood pressure were comparable between two groups at all times while there was a significantly lower systolic blood pressure only at 3 and 5 minutes after intubation in group B compared to group A (p < 0.05). Recovery profiles assessed in terms of time of eye opening (657.89 ± 172.30 s vs 453.58 ± 157.49 s), obeying command (696.79 ± 192.44s vs 481.06±164.96s), and time of extubation (706.41±166.27s vs 483.38±160.62s) were significantly faster in group B (p value < 0.001). Conclusions: Hemodynamic changes were comparable between propofol group and sevoflurane group while sevoflurane group had faster recovery.

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Section: Discussionsupporting

confidence: 59%

Comparison Between Total Intravenous Anesthesia (Tiva) With Propofol – Fentanyl and Balanced Anesthesia With Sevoflurane – Fentanyl in Terms of Hemodynamic Changes and Recovery Profiles During Laparoscopic Cholecystectomy

Dhungana¹,

Baral²,

Singh³

et al. 2022

JCMC

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“…According to a study carried out in 2016 by Keita Ohkushi et al, also compared these two agents and they found that the mean extubation time in Sevoflurane anaesthesia was tend to be shorter than propofol anaesthesia and they assessed it in terms of seconds and it was noted to be as 920 ± 537 seconds with propofol as compared to 595 ± 186 seconds managed with Sevoflurane with a P value of 0.016. 13 A. Sultan, H. B. Ali, S. Ashraf et al P J M H S Vol. 16, No.…”

Section: Discussionmentioning

confidence: 99%

Comparison Between Recovery Profiles of Total Propofol Anesthesia and Total Sevoflurane Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy

Sultan¹,

Ali²,

Ashraf³

et al. 2022

PJMHS

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Objective: To compare propofol and sevoflurane anesthesia in terms of mean extubation time among patients undergoing laparoscopic cholecystectomy. Study Design: Randomized Controlled Trial Study Setting: National Hospital and Medical Centre, Lahore Sampling Technique: Consecutive non-probability sampling Study duration: 06-02-18 to 06-08-18 Methodology: The cases with age range of 16 to 60 years of either gender with ASA status 1 and 2 undergoing laparoscopic cholecystectomy were included. group A was given propofol and group B sevoflurane in standard dose and they were assessed for mean extubation time. Results: In the present study there were total 60 cases with 30 in each group. There were 14 (46.67%) males in group A vs 16 (53.33%) in group B. The mean age in the group A was 40.03±13.68 years while in group B was 36.83±10.64 years. Mean BMI was 25.27±2.05 vs 25.43±1.85 in group A and B respectively. There were 19 (63.33%) cases in ASA class 1 in group A and 16 (53.33%) in group B. Mean extubation time in group A and B was 7.16±2.80 vs 3.68±0.87 with p= 0.0001. Mean time of extubation was significantly longer in group A in terms of gender, age and ASA class. Conclusion: Mean extubation time was significantly shorter in group B managed by Sevoflurane as compared to Propofol and this difference was statistically significant in terms of all the variables in the form of age, gender and ASA class. Thus sevolflurane anaesthesia is superior to propofol. Keywords: Anesthesia, Sevoflurane, Propofol, Extubation Time, ASA Status.

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“…Previous studies performed in a different types of surgery or which had utilized different tools to estimate anesthetic consumption, had different results compared with our study. [10][11][12][13] As previously explained, the residual effect of midazolam and fentanyl used during induction might affect the recovery profile.…”

Section: Sevoflurane and Tci Propofol Recovery Timementioning

confidence: 96%

Comparison of recovery time with target controlled infusion of propofol with sevoflurane anesthesia using bispectral index monitoring in vitrectomy surgery

Tantri¹,

Sukmono²,

Atmadja³

2021

Anaesth. pain intensive care

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Background: Rapid recovery after anesthesia is critical and is associated with the anesthetic agents used. The bispectral index (BIS) monitoring to guide anesthetic agents' doses may play a significant role in the recovery time. This study compared recovery time after Target Controlled Infusion (TCI) of propofol with sevoflurane anesthesia by using BIS monitoring during vitrectomy surgery. Methodology: This was a prospective observational, randomized study on 40 patients aged 18–65 y, physical status ASA I–II, body mass index (BMI) 18–30 kg/m2, who underwent vitrectomy surgery. Subjects were randomly assigned into two groups, Group P – the TCI propofol group, and Group S – the sevoflurane group. Subjects in the Group P received TCI propofol (Schnider), and subjects in the Group S received sevoflurane for anesthesia maintenance, with a targeted BIS score of 40–60. Inj. fentanyl 1 µg/kg was administered if there was an increase in blood pressure, heart rate and/or BIS that could not be overcome by increasing the dose of TCI propofol or sevoflurane. Recovery time was calculated from when the maintenance regimen was stopped until the patient was able to obey simple commands. Recovery time, fentanyl consumption, postoperative agitation, nausea and vomiting incidence were noted and analyzed with SPSS v21.0 for Windows. T–Test or Mann–Whitney U test was performed to analyze the data. Result: Recovery time in the Group P [11.5 (5–25) min)] was not significantly different from the Group S [9 (4–18) min, p = 0.139]. Total fentanyl consumption was higher in the Group P than in the Group S (1.765 vs. 1.428 µg/kg). The frequency of agitation during recovery was higher in the Group S than in the Group P (30% vs. 20%) Conclusion: There was no significant difference in recovery time between target controlled infusion of propofol and BIS controlled sevoflurane anesthesia in vitrectomy. Total fentanyl consumption was higher in the Group P than in the sevoflurane group. The impact of these anesthetic regimens on postoperative agitation needs further investigation. Key words: Intravenous anesthesia; Bispectral index monitoring; BIS; Propofol; Sevoflurane; Target Controlled Infusion; TCI; Vitrectomy Citation: Tantri AR, Sukmono RB, Atmadja LS. Comparison of recovery time with target controlled infusion of propofol with sevoflurane anesthesia using bispectral index monitoring in vitrectomy surgery. Anaesth. pain intensive care 2021;25(6):707–712: DOI: 10.35975/apic.v25i6.1689

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Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment—A Crossover Comparison Between Propofol and Sevoflurane

Cited by 7 publications

References 23 publications

Comparison Between Total Intravenous Anesthesia (Tiva) With Propofol – Fentanyl and Balanced Anesthesia With Sevoflurane – Fentanyl in Terms of Hemodynamic Changes and Recovery Profiles During Laparoscopic Cholecystectomy

Comparison Between Total Intravenous Anesthesia (Tiva) With Propofol – Fentanyl and Balanced Anesthesia With Sevoflurane – Fentanyl in Terms of Hemodynamic Changes and Recovery Profiles During Laparoscopic Cholecystectomy

Comparison Between Recovery Profiles of Total Propofol Anesthesia and Total Sevoflurane Anesthesia in Patients Undergoing Laparoscopic Cholecystectomy

Comparison of recovery time with target controlled infusion of propofol with sevoflurane anesthesia using bispectral index monitoring in vitrectomy surgery

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