Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2005
Standard anesthetic technique for middle ear surgical procedures: a comparison of desflurane and sevoflurane.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Jellish W Scott, Owen Kevin, Edelstein Steven, Fluder Elaine, Leonetti John P
Аннотация
OBJECTIVE: This study was designed to compare desflurane and sevoflurane anesthesia for middle ear microsurgery.
STUDY DESIGN: One hundred healthy adults undergoing middle ear surgery were assigned to receive either desflurane or sevoflurane as their anesthetic. Intraoperative hemodynamics and BIS numbers were recorded. Hemodynamics, pain, nausea/vomiting, discharge readiness, and other parameters were compared postoperatively and 24 hours later.
RESULTS: No intraoperative differences were noted except in BIS scores which trended lower with desflurane. PACU blood pressures were higher after desflurane but pain scores, nausea/vomiting, rescue anti-emetics, recovery scores, and discharge times were similar. A significant difference was noted in anesthetic costs (desflurane > sevoflurane), and in patients with the lowest BIS scores associated with more nausea/vomiting.
CONCLUSIONS: Both anesthetics may be used for ototic surgery but propofol anesthesia should still be considered in patients with a history of emetic sequelae.
SIGNIFICANCE: Short-acting inhalational anesthetics produce excellent operating conditions and reduce costs for otologic surgery.
STUDY DESIGN: One hundred healthy adults undergoing middle ear surgery were assigned to receive either desflurane or sevoflurane as their anesthetic. Intraoperative hemodynamics and BIS numbers were recorded. Hemodynamics, pain, nausea/vomiting, discharge readiness, and other parameters were compared postoperatively and 24 hours later.
RESULTS: No intraoperative differences were noted except in BIS scores which trended lower with desflurane. PACU blood pressures were higher after desflurane but pain scores, nausea/vomiting, rescue anti-emetics, recovery scores, and discharge times were similar. A significant difference was noted in anesthetic costs (desflurane > sevoflurane), and in patients with the lowest BIS scores associated with more nausea/vomiting.
CONCLUSIONS: Both anesthetics may be used for ototic surgery but propofol anesthesia should still be considered in patients with a history of emetic sequelae.
SIGNIFICANCE: Short-acting inhalational anesthetics produce excellent operating conditions and reduce costs for otologic surgery.