The effect of anaesthetic agents on induction, recovery and patient preferences in adult day case surgery

Moore, Julia; Elliott, Rachel A.; Payne, Katherine; Moore, E. W.; Leger, A. S. St; Harper, N.J.N.; Pollard, B. J.; Kerr, J. H.

doi:10.1017/s0265021507003493

Cited by 29 publications

(15 citation statements)

References 12 publications

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“…These patient specific modulating variables will be discussed in Section 3 (see below). Based on clinical studies, the primary causes of PONV after surgery are the use of inhalational anesthesia (Apfel et al, 2012a; Apfel et al, 2002; Hofer et al, 2003; Moore et al, 2008; Raeder et al, 1997; Vari et al, 2010) and opioid analgesics (Apfel et al, 2012a; Binning et al, 2011). Figure 1 illustrates the potential stimuli that contribute to PONV and postdischarge nausea and vomiting (PDNV).…”

Section: Stimulimentioning

confidence: 99%

Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting

Horn¹,

Wallisch²,

Homanics³

et al. 2014

European Journal of Pharmacology

203

130

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Clinical research shows that postoperative nausea and vomiting (PONV) is caused primarily by the use of inhalational anesthesia and opioid analgesics. PONV is also increased by several risk predictors, including a young age, female sex, lack of smoking, and a history of motion sickness. Genetic studies are beginning to shed light on the variability in patient experiences of PONV by assessing polymorphisms of gene targets known to play roles in emesis (serotonin type 3, 5-HT3; opioid; muscarinic; and dopamine type 2, D2, receptors) and the metabolism of antiemetic drugs (e.g., ondansetron). Significant numbers of clinical trials have produced valuable information on pharmacological targets important for controlling PONV (e.g., 5-HT3 and D2), leading to the current multi-modal approach to inhibit multiple sites in this complex neural system. Despite these significant advances, there is still a lack of fundamental knowledge of the mechanisms that drive the hindbrain central pattern generator (emesis) and forebrain pathways (nausea) that produce PONV, particularly the responses to inhalational anesthesia. This gap in knowledge has limited the development of novel effective therapies of PONV. The current review presents the state of knowledge on the biological mechanisms responsible for PONV, summarizing both preclinical and clinical evidence. Finally, potential ways to advance the research of PONV and more recent developments on the study of postdischarge nausea and vomiting (PDNV) are discussed.

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Section: Stimulimentioning

confidence: 99%

Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting

Horn¹,

Wallisch²,

Homanics³

et al. 2014

European Journal of Pharmacology

203

130

View full text Add to dashboard Cite

show abstract

“…13 However, in other previous studies, another anesthesia method was requested by 22% of patients who received tidal breathing induction with sevoflurane, 14 and even 7 days after surgery, by 43% of patients who received sevoflurane with nitrous oxide. 21 Patients with severe anxiety against dental treatments, like the subjects in this study, probably need general anesthesia for future dental treatment. Selection of a preferred anesthetic is important for such patients, and 80% of the subjects in this study selected propofol as their preferred anesthetic.…”

Section: Discussionmentioning

confidence: 95%

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

Ohkushi

Fukuda

Koukita

et al. 2016

Anesthesia Progress

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The purpose of this study was to determine which anesthetic was preferable for ambulatory anesthesia: propofol alone or sevoflurane alone. A crossover study was performed to compare the recovery profile and patient satisfaction after 2 anesthesia methods. Twenty healthy patients with severe anxiety toward dental treatment undergoing 2 sessions of day-case dental treatment received either propofol or sevoflurane anesthesia. The order of these methods was randomized. The depths of anesthesia were kept constant using bispectral index (BIS) monitoring. Observations on recovery profiles were performed in the emergence phase, in the recovery phase, and 24 hours after discharge. Patient satisfaction and preference were obtained by a questionnaire. Most of the recovery profiles in the emergence phase such as time to eye opening to respond to verbal command, time to BIS 75, and time to extubation were shorter in the sevoflurane group than in the propofol group. All recovery profiles in the recovery phase showed no differences between the 2 groups. Based on the subject's satisfaction and preference, propofol was evaluated as a better anesthetic for ambulatory anesthesia than sevoflurane. Higher patient satisfaction and a greater preference for future dental treatment were revealed for propofol anesthesia. Propofol may be more suitable for ambulatory anesthesia for dental treatment.

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“…12,14,[36][37][38][39][40][41] One study used a 0-to 10-cm VAS but converted those findings to yes or no (less than 1 cm was counted as no nausea). 42 Only two measures of PDNV have been reported in published studies, the AS-INVR 22 and FLIE. 26,43 The frequency of vomiting was not reported consistently in studies.…”

Section: Resultsmentioning

confidence: 99%

Measurement of Postdischarge Nausea and Vomiting for Ambulatory Surgery Patients: A Critical Review and Analysis

Odom-Forren¹

2011

Journal of PeriAnesthesia Nursing

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The effect of anaesthetic agents on induction, recovery and patient preferences in adult day case surgery

Abstract: Differences in outcome between the four regimens are transient; sevoflurane is not an ideal sole agent for adult day case anaesthesia and, in this setting, patients base their preferences for future anaesthetics on the method of induction.

Cited by 29 publications

References 12 publications

Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting

Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting

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

Measurement of Postdischarge Nausea and Vomiting for Ambulatory Surgery Patients: A Critical Review and Analysis

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