Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial

被引：1

作者：

Choi, Eun Kyung ^{[1
,3
]}

Kim, Saeyoung ^{[2
]}

Kim, Do young ^{[1
]}

机构：

[1] Yeungnam Univ, Coll Med, Dept Anesthesiol & Pain Med, Daegu, South Korea

[2] Kyungpook Natl Univ, Sch Med, Dept Anesthesiol & Pain Med, Daegu, South Korea

[3] Yeungnam Univ, Coll Med, Dept Anesthesiol & Pain Med, 170 Hyeonchung Ro, Daegu 42415, South Korea

来源：

JOURNAL OF YEUNGNAM MEDICAL SCIENCE | 2023年 / 40卷 / 03期

关键词：

Anesthesia; Propofol; Sevoflurane; Total shoulder arthroplasty; CONGENITAL-ANOMALIES; SEX-DIFFERENCES; MATERNAL AGE; MALFORMATIONS; PERFORMANCE; PREGNANCIES; TERMINATION; INFANT;

D O I：

10.12701/jyms.2022.00129

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: While some evidence indicates that propofol-based anesthesia has less postoperative pain than sevoflurane-based anesthesia, these results are controversial. We compared acute postoperative pain intensity and opioid consumption after total shoulder arthroplasty between propofol-remifentanil (PR) and sevoflurane-remifentanil (SR) anesthesia.Methods: Among 48 patients undergoing shoulder arthroscopic surgery anesthetized with PR or SR, postoperative pain intensity was assessed at 30 minutes and at 2, 6, 12, and 24 hours. The total patient-controlled analgesia volume and number of patients requiring rescue analgesics were assessed.Results: No significant difference in postoperative pain intensity was observed between the two groups. Postoperative opioid consumption and analgesic requirements were also comparable in the first 24 hours after surgery.Conclusion: PR and SR anesthesia for shoulder arthroscopic surgery provide comparable postoperative analgesia results.

引用

页码：247 / 251

页数：5

共 50 条

[31] Propofol and sevoflurane combined with remifentanil on the pain index, inflammatory factors and postoperative cognitive function of spine fracture patients [J].

Zhao, Yu ;

Zhang, Hongqi .

EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2018, 15 (04) :3775-3780

[32] Tracheal intubation quality under remifentanil-propofol with sevoflurane compared with remifentanil-propofol with rocuronium: a randomized double-blind clinical trial [J].

Gonzalez Obregon, M. P. ;

Rivera Diaz, R. C. ;

Ordonez Molina, J. E. ;

Rivera Diaz, J. S. ;

Velasquez Ossa, L. F. ;

Pineda Ibarra, C. ;

Serna Gutierrez, J. ;

Franco Botero, V. .

REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2010, 57 (06) :351-356

[33] The effect of anesthetic technique on early postoperative gastric emptying: Comparison of propofol-remifentanil and opioid-free sevoflurane anesthesia [J].

Walldén J. ;

Thörn S.-E. ;

Lövqvist A. ;

Wattwil L. ;

Wattwil M. .

Journal of Anesthesia, 2006, 20 (4) :261-267

[34] Sevoflurane-Remifentanil Versus Propofol- Remifentanil Anesthesia During Noncardiac Surgery for Patients with Coronary Artery Disease - A Prospective Study Between 2016 and 2017 at a Single Center [J].

Dai, Zhongliang ;

Lin, Miao ;

Li, Yali ;

Gao, Wenli ;

Wang, Ping ;

Lin, Juan ;

Wan, Zhenzhen ;

Jiang, Yuanxu .

MEDICAL SCIENCE MONITOR, 2021, 27

[35] Comparison of the efficacy and safety of sedation protocols with the use of dexmedetomidine-remifentanil and propofol-remifentanil during percutaneous closure of atrial septal defects: a randomized clinical trial [J].

Chen, Xiao-Lan ;

Huang, Wen-Hui ;

Zheng, Yi-Han ;

Zhang, Gui-Can .

JOURNAL OF CARDIOTHORACIC SURGERY, 2022, 17 (01)

[36] Esmolol blunts postoperative hemodynamic changes after propofol-remifentanil total intravenous fast-track neuroanesthesia for intracranial surgery [J].

Bilotta, Federico ;

Lam, Arthur M. ;

Doronzio, Andrea ;

Cuzzone, Vincenzo ;

Delfini, Roberto ;

Rosa, Giovanni .

JOURNAL OF CLINICAL ANESTHESIA, 2008, 20 (06) :426-430

[37] Esmolol versus ketamine-remifentanil combination for early postoperative analgesia after laparoscopic cholecystectomy: a randomized controlled trial [J].

Lopez-Alvarez, Servando ;

Mayo-Moldes, Monica ;

Zaballos, Matilde ;

Iglesias, Belen Garcia ;

Blanco-Davilla, Rafael .

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2012, 59 (05) :442-448

[38] Effect of desflurane-remifentanil vs. Propofol-remifentanil anesthesia on arterial oxygenation during one-lung ventilation for thoracoscopic surgery: a prospective randomized trial [J].

Cho, Youn Joung ;

Kim, Tae Kyong ;

Hong, Deok Man ;

Seo, Jeong-Hwa ;

Bahk, Jae-Hyon ;

Jeon, Yunseok .

BMC ANESTHESIOLOGY, 2017, 17

[39] Remifentanil-propofol versus sufentanil-propofol anaesthesia for supratentorial craniotomy:: a randomized trial [J].

Gerlach, K ;

Uhlig, T ;

Hüppe, M ;

Nowak, G ;

Schmitz, A ;

Saager, L ;

Grasteit, A ;

Schmucker, P .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2003, 20 (10) :813-820

[40] Dexmedetomidine versus remifentanil in postoperative pain control after spinal surgery: a randomized controlled study [J].

Hwang, Wonjung ;

Lee, Jaemin ;

Park, Jihyun ;

Joo, Jin .

BMC ANESTHESIOLOGY, 2015, 15

← 1 2 3 4 5 →