Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial

被引:23
作者
Moro, Eduardo Toshiyuki [1 ]
Oliveira Leme, Fabio Caetano [1 ]
Noronha, Bernardo Roveda [1 ]
Pinto Saraiva, Gustavo Farinha [2 ]
de Matos Leite, Nathalia Vianna [2 ]
Camacho Navarro, Lais Helena [3 ]
机构
[1] Pontificial Catholic Univ Sao Paulo PUC SP, Sch Med & Hlth Sci, Dept Surg, Sao Paulo, SP, Brazil
[2] Pontificial Catholic Univ Sao Paulo PUC SP, Sch Med & Hlth Sci, Sao Paulo, SP, Brazil
[3] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Anesthesiol, Botucatu, SP, Brazil
关键词
Intravenous anesthesia; Inhalation anesthesia; Recovery from anesthesia; Quality measures; Patient satisfaction; Questionnaire; OF-LIFE; INHALATION ANESTHESIA; SEVOFLURANE; SURGERY; PROPOFOL; QOR-40;
D O I
10.1016/j.jclinane.2016.08.022
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Study objectives: The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire. Design: Prospective randomized clinical trial. Setting: The setting is at an operating room, a postoperative recovery area, and a hospital ward. Patients: One-hundred thirty American Society of Anesthesiologists physical status I or II patients scheduled to undergo general anesthesia for ORL interventions under remifentanil, in combination with sevoflurane (balanced technique) or propofol (total intravenous anesthesia). Measurements: Occurrence of nausea, vomiting, body temperature less than 36 degrees C, and length of stay in the postanesthesia care unit were recorded. The QoR-40 was administered by an investigator blind to group allocation 24 hours after surgery. The quality of recovery, as assessed by the score on the QoR-40, was compared between the groups. Main results: There is no difference regarding the QoR-40 score among intravenous and inhalation anesthesia groups (190.5 vs 189.5, respectively; P =.33). Similarly, among the 5 dimensions of the QoR40, the scores were comparable between the groups. Incidence of hypothermia (P =.58), nauseas or vomits (P =.39), and length of surgery (P =.16) were similar among groups. The evaluation of pain intensity (P =.80) and dose of morphine use in the postanesthesia care unit (P =.4) was also comparable between groups. Conclusions: The quality of recovery from anesthesia assessed based on the patients' perception did not differ between the ones subjected to either inhalation or intravenous general anesthesia for ORL surgery based on QoR-40 questionnaire assessment. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:369 / 375
页数:7
相关论文
共 50 条
[41]   Sevoflurane versus propofol anesthesia in patients undergoing lumbar spondylodesis: A randomized trial [J].
Konstantopoulos, Konstantinos ;
Makris, Alexandros ;
Moustaka, Alexandra ;
Karmaniolou, Iosifina ;
Konstantopoulos, Georgios ;
Mela, Argyro .
JOURNAL OF SURGICAL RESEARCH, 2013, 179 (01) :72-77
[42]   Effect of total intravenous anesthesia versus sevoflurane anesthesia on intraoperative facial nerve monitoring: a randomized controlled trial [J].
Bang, Yu Jeong ;
Lee, Sang Hyun ;
Jeong, Yeon Woo ;
Choi, Ji Won ;
Ahn, Hyun Joo ;
Park, Boram ;
Kim, Jin Kyoung .
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2025, 72 (02) :262-272
[43]   The effect of magnesium on emergence agitation in children undergoing adenotonsillectomy under sevoflurane general anesthesia: a prospective randomised clinical trial [J].
Yucel, Aytac ;
Begec, Zekine ;
Ozgul, Ulku ;
Aydogan, M. Said ;
Gulhas, Nurcin ;
Ersoy, M. Ozcan .
HEALTHMED, 2012, 6 (05) :1605-1610
[44]   Emergence delirium in children: a randomized trial to compare total intravenous anesthesia with propofol and remifentanil to inhalational sevoflurane anesthesia [J].
Chandler, John R. ;
Myers, Dorothy ;
Mehta, Disha ;
Whyte, Emma ;
Groberman, Michelle K. ;
Montgomery, Carolyne J. ;
Ansermino, J. Mark .
PEDIATRIC ANESTHESIA, 2013, 23 (04) :309-315
[45]   The impact of inhalation versus total intravenous anesthesia on the immune status in patients undergoing breast cancer surgery: a double-blind randomized clinical trial (TeMP) [J].
Kadantseva, Kristina ;
Subbotin, Valery ;
Akchulpanov, Roman ;
Berikashvili, Levan ;
Yadgarov, Mikhail ;
Zhukova, Lyudmila ;
Kvetenadze, Guram ;
Svitich, Oxana ;
Kukina, Polina ;
Kuznetsov, Ivan ;
Shemetova, Mariya ;
Smirnova, Anastasiya ;
Polyakov, Petr ;
Shebankov, Andrey ;
Likhvantsev, Valery .
FRONTIERS IN ONCOLOGY, 2024, 14
[46]   A randomized controlled trial to compare the effects of sevoflurane and propofol for maintenance of anesthesia on postoperative recovery quality in patients undergoing transsphenoidal resection of pituitary adenoma [J].
Feng, Yunying ;
Zhang, Yuelun ;
Lian, Wei ;
Xue, Yang ;
Ma, Manjiao ;
Yu, Xuerong ;
Guo, Xiaopeng ;
Ma, Lulu ;
Xing, Bing ;
Huang, Yuguang .
BMC ANESTHESIOLOGY, 2025, 25 (01)
[47]   Effect of total intravenous anesthesia and inhalation anesthesia on recovery quality of patients after laparoscopic surgery: A systematic review and meta-analysis [J].
Duan, Rong-rong ;
Zhang, Qin ;
Qin, Xiao-yu ;
Wang, Chun-ai .
ASIAN JOURNAL OF SURGERY, 2023, 46 (08) :3234-3235
[48]   Clinical Trial Comparing Remimazolam with Propofol During Intravenous Anesthesia: A Prospective Randomised Clinical Trial [J].
Yang, Lu ;
Zhang, Jin ;
Xiao, Nengke ;
Chen, Junjie ;
Liu, Hengjuan ;
He, Xuan ;
Xiao, Xingpeng ;
Zhang, Fan .
COMBINATORIAL CHEMISTRY & HIGH THROUGHPUT SCREENING, 2024, 27 (10) :1544-1550
[49]   Immunomodulation by ketamine as an adjunct to total intravenous anesthesia in patients undergoing minimally invasive radical prostatectomy: A randomized pilot trial [J].
Kawaguchi, Jun ;
Ota, Daichi ;
Niwa, Hidetomo ;
Sugo, Yuki ;
Kushikata, Tetsuya ;
Hirota, Kazuyoshi .
MOLECULAR AND CLINICAL ONCOLOGY, 2020, 13 (02) :203-208
[50]   Incidence of intraoperative hypotension in older patients undergoing total intravenous anesthesia by remimazolam versus propofol: A randomized controlled trial [J].
Jeon, Yeong-Gwan ;
Kim, Sujin ;
Park, Ji-Hyoung ;
Lee, Jonghoon ;
Song, Sang A. ;
Lim, Hyun Kyo ;
Song, Seung Woo .
MEDICINE, 2023, 102 (49) :E36440