Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia

Lee, W.-K.; Kim, M.-S.; Kang, Sang–Wook; Kim, S.; Lee, J.-R.

doi:10.1093/bja/aeu405

Cited by 121 publications

(139 citation statements)

References 30 publications

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“…Several studies have presented data that are consistent with our results on emergence time [20,29,30,43,44]. Dexter and Tinker (1995) demonstrated no significant difference in the time to following commands after discontinuation of DES versus propofol in orthopedic surgery, gynecological laparoscopic surgery, and ambulatory surgery [43].…”

Section: Discussionsupporting

confidence: 88%

“…Dexter and Tinker (1995) demonstrated no significant difference in the time to following commands after discontinuation of DES versus propofol in orthopedic surgery, gynecological laparoscopic surgery, and ambulatory surgery [43]. In addition, four other studies showed that there was no significant difference in tracheal extubation time between a DES group and a propofol group in thyroid surgery under bispectral index (BIS) monitor [29], laparoscopic cholecystectomy (LC) [20], ontological surgery [44], and ear, nose and throat surgery [30]. However, these studies examined short-duration surgeries.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Anesthesia-Controlled Operating Room Time between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Colorectal Surgery: A Retrospective Study

et al. 2016

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We conducted a retrospective study to investigate the anesthesia-controlled time and factors that contribute to prolonged extubation in open colorectal surgery. Using our hospital database, demographic data, various time intervals (waiting for anesthesia time, anesthesia time, surgical time, emergence time, exit from operating room after extubation, total operating room time, and post-anesthesia care unit stay time), and incidence of prolonged extubation (≥ 15 mins), were compared between patients who received desflurane/fentanyl-based anesthesia and total intravenous anesthesia via target-controlled infusion with fentanyl/propofol. Logistic regression analyses were performed to assess the association between variables that contributed to prolonged extubation. In conclusion, the anesthesia-controlled time was similar in desflurane anesthesia and propofol-based total intravenous anesthesia for open colorectal surgery in our hospital. Surgical time greater than 210 minutes, as well as age, contributed to prolonged extubation.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Comparison of Anesthesia-Controlled Operating Room Time between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Colorectal Surgery: A Retrospective Study

et al. 2016

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“…From the patient's perspective, a delayed return to normal activity lowers the patient's satisfaction for the medical care they received. 27 The improvement in the global QoR-40 score in the PILA group suggests better patient satisfaction and thus a quicker return to normal activity when compared with the control group. While the effects of PILA with dexamethasone on postoperative pain in the PACU, opioid use in the PACU, and postoperative pain after discharge were not significantly different from the control group, the effects did trend in favor of PILA with dexamethasone.…”

Section: Research Original Investigationmentioning

confidence: 88%

Efficacy of Local Anesthetic With Dexamethasone on the Quality of Recovery Following Total Extraperitoneal Bilateral Inguinal Hernia Repair

et al. 2016

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IMPORTANCE Quality of recovery (directly associated with patient satisfaction) is an important clinical outcome measurement and a surrogate of anesthetic/surgical care quality.OBJECTIVES To compare the efficacy of a transversus abdominis plane (TAP) block with dexamethasone sodium phosphate and preperitoneal instillation of local anesthetic (PILA) with dexamethasone vs control on postoperative quality of recovery following a bilateral total extraperitoneal inguinal hernia repair (TEP-IHR) (>24 hours). Secondary objectives included efficacy of this technique on postoperative opioid use, nausea and vomiting, and pain scores. CONCLUSIONS AND RELEVANCE This study demonstrates a better quality of recovery in patients' receiving PILA with dexamethasone compared with control for a TEP-IHR surgery.

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“…The neuroendocrine stress response is caused by surgical stimulation that leads to hypercoagulability, especially during general anesthesia, when the concentration of catecholamine, cortisol, and growth hormones in the blood increase in response to the inhalation anesthetics [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…TIVA also has an advantage in terms of its analgesic effect on postoperative pain [20,24]. Because of the nature of TKA, which is a surgical treatment for osteoarthritis, elderly patients account for the majority of patients.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the incidence of venous thromboembolism between epidural and general anesthesia for total knee arthroplasty: a retrospective study

et al. 2018

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With increasing average life expectancy and the physical activeness of the population aged 60 and older, major orthopedic arthroplasty is becoming more common. In particular, total knee arthroplasty (TKA) has become a major orthopedic procedure in the aging population in Korea; additionally, venous thromboembolism (VTE) is one of the major compliThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background: Substantial variation exists in the reported rates of postoperative venous thromboembolism (VTE) following total knee arthroplasty (TKA) in the Asian population. This retrospective study aimed to compare the early postoperative VTE incidence between patients managed with epidural anesthesia and those managed by general anesthesia at the time of TKA. Methods:We reviewed 589 cases of unilateral primary TKA performed between January 2011 and June 2014. We selected epidural versus general anesthesia groups as the main anesthetic choices, with postoperative patient-controlled analgesia. All the patients underwent deep vein thrombosis (DVT) computed tomography angiography on postoperative day 7. The incidence of DVT and pulmonary thromboembolism (PTE) was evaluated and compared between epidural and general anesthesia.Results: The overall incidence of VTE was 8.0% in the two groups together. The incidence did not differ between the groups. The odds ratio in the generalized estimation equations analysis showed a higher incidence of DVT and PTE in the epidural group; however, this result was not statistically significant. Although, the odds ratio for age showed that the risk of developing DVT and PTE increased 1.12 times per year.Conclusions: Total VTE incidence was not significantly different between patients who underwent general anesthesia and those who underwent epidural anesthesia for TKA. A prospective multicenter study is required to evaluate the nature of the Korean VTE status in major orthopedic surgeries, and to prepare guidelines and protocols for medical prophylaxis for DVT and PTE in Korea.

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Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia

Abstract: www.clinicaltrials.org; ref.: NCT01760018.

Cited by 121 publications

References 30 publications

Comparison of Anesthesia-Controlled Operating Room Time between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Colorectal Surgery: A Retrospective Study

Comparison of Anesthesia-Controlled Operating Room Time between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Colorectal Surgery: A Retrospective Study

Efficacy of Local Anesthetic With Dexamethasone on the Quality of Recovery Following Total Extraperitoneal Bilateral Inguinal Hernia Repair

Comparison of the incidence of venous thromboembolism between epidural and general anesthesia for total knee arthroplasty: a retrospective study

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