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

被引：17

作者：

Chan, Wei-Hung ^{[1
,2
]}

Lee, Meei-Shyuan ^{[3
]}

Lin, Chin ^{[4
]}

Wu, Chang-Chieh ^{[2
,5
]}

Lai, Hou-Chuan ^{[1
,2
]}

Chan, Shun-Ming ^{[1
,2
]}

Lu, Chueng-He ^{[1
,2
]}

Cherng, Chen-Hwan ^{[1
,2
]}

Wu, Zhi-Fu ^{[1
,2
]}

机构：

[1] Triserv Gen Hosp, Dept Anesthesiol, Taipei, Taiwan

[2] Natl Def Med Ctr, Taipei, Taiwan

[3] Natl Def Med Ctr, Sch Publ Hlth, Taipei, Taiwan

[4] Natl Def Med Ctr, Grad Inst Life Sci, Taipei, Taiwan

[5] Triserv Gen Hosp, Div Colorectal Surg, Dept Surg, Taipei, Taiwan

来源：

PLOS ONE | 2016年 / 11卷 / 10期

关键词：

REMIFENTANIL-BASED ANESTHESIA; TARGET-CONTROLLED INFUSION; FAST-TRACK ELIGIBILITY; LAPAROSCOPIC CHOLECYSTECTOMY; INHALATION ANESTHESIA; AMBULATORY ANESTHESIA; RECOVERY PROFILE; PROLONGED TIME; ISOFLURANE; AVERAGE;

D O I：

10.1371/journal.pone.0165407

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

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.

引用

页数：11

共 47 条

[1] Increasing the value of time reduces the lost economic opportunity of caring for surgeries of longer-than-average times
Abouleish, AE
Prough, DS
Whitten, CW
Conlay, LA
[J]. ANESTHESIA AND ANALGESIA, 2004, 98 (06) : 1737 - 1742
[2] The impact of longer-than-average anesthesia times on the billing of academic anesthesiology departments
Abouleish, AE
Prough, DS
Zornow, MH
Hughes, J
Whitten, CW
Conlay, LA
Abate, JJ
Horn, TE
[J]. ANESTHESIA AND ANALGESIA, 2001, 93 (06) : 1537 - 1543
[3] Comparison of Recovery Characteristics, Postoperative Nausea and Vomiting, and Gastrointestinal Motility With Total Intravenous Anesthesia With Propofol Versus Inhalation Anesthesia With Desflurane for Laparoscopic Cholecystectomy: A Randomized Controlled Study
Akkurt, B. Cagla Ozbakis
Temiz, Muhyittin
Inanoglu, Kerem
Aslan, Ahmet
Turhanoglu, Selim
Asfuroglu, Zeynel
Canbolant, Elif
[J]. CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL, 2009, 70 (02): : 94 - 103
[4] APFELBAUM JL, 1993, ANESTH ANALG, V77, pS10
[5] Comparison of desflurane with isoflurane or propofol in spontaneously breathing ambulatory patients
Ashworth, J
Smith, I
[J]. ANESTHESIA AND ANALGESIA, 1998, 87 (02) : 312 - 318
[6] THE AGING BRAIN
BRODY, H
[J]. ACTA NEUROLOGICA SCANDINAVICA, 1992, 85 : 40 - 44
[7] Bispectral index-guided desflurane and propofol anesthesia in ambulatory arthroscopy: Comparison of recovery and discharge profiles
Camci E.
Koltka K.
Celenk Y.
Tugrul M.
Pembeci K.
[J]. Journal of Anesthesia, 2006, 20 (2) : 149 - 152
[8] Chan S.M., 2009, MED SCI, V29, P75
[9] Confounding Factors to Predict the Awakening Effect-Site Concentration of Propofol in Target-Controlled Infusion Based on Propofol and Fentanyl Anesthesia
Chan, Shun-Ming
Lee, Meei-Shyuan
Lu, Chueng-He
Cherng, Chen-Hwan
Huang, Yuan-Shiou
Yeh, Chun-Chang
Kuo, Chan-Yang
Wu, Zhi-Fu
[J]. PLOS ONE, 2015, 10 (05):
[10] Chen JL, 2013, J MED SCI, V33, P205

← 1 2 3 4 5 →