Ítem
Solo Metadatos

Comparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgery

Mostrar el registro sencillo de la publicación
dc.creatorMontes F.R.spa
dc.creatorTrillos J.E.spa
dc.creatorRincón I.E.spa
dc.creatorGiraldo J.C.spa
dc.creatorRincón J.spa
dc.creatorVanegas M.V.spa
dc.creatorCharris H.spa
dc.date.accessioned2020-05-25T23:56:01Z
dc.date.available2020-05-25T23:56:01Z
dc.date.created2002spa
dc.description.abstractStudy Objective: To compare the recovery characteristics of two widely used anesthetic techniques: remifentanyl-propofol and sevoflurane-fentanyl in a standardized ambulatory population. Design: Randomized, single-blinded study. Setting: University-affiliated medical center. Patients: 50 ASA physical status I and II patients undergoing elective ambulatory otorhinolaryngeal surgery. Interventions: Patients were randomized two groups to receive total intravenous anesthesia (TIVA group) with remifentanil and propofol or sevoflurane-fentanyl (SF group). TIVA patients received induction with propofol 1.5 mg/kg intravenously (IV) and remifentanil 0.5 ?/kg IV. The anesthesia was continued with a continuous infusion of propofol 100 ?g/kg/min and remifentanil 0.0625-0.25 ?g/kg/min. The SF group received, at induction, fentanyl 2 ?g/kg followed by propofol 1.5 mg/kg IV. Maintenance was obtained with 1 to 1.5 minimum alveolar concentration of sevoflurane and bolus of fentanyl 1 ?g/kg IV as needed. Measurements and Main Results: Early recovery times (eye opening, response to commands, extubation, orientation, operating room stay after surgery, and Aldrete score ?9) and patient satisfaction were similar between the two groups. Postanesthetic discharge scoring system (PADSS) ? 9 was significantly shorter for the TIVA group (135.9 ± 51 vs. 103 ± 32 min) (p less than 0.01) but this difference was not associated with a shorter postanesthesia care unit (PACU) length of stay. Conclusion: Early recovery times are comparable between total intravenous anesthesia and sevoflurane-based anesthesia. Even though patients in the TIVA group achieved home readiness criteria in a significantly shorter time, this technique does not shorten PACU length of stay, which depends instead on multiple nonmedical and administrative issues. © 2002 by Elsevier Science Inc.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/S0952-8180(02)00367-7
dc.identifier.issn9528180
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22295
dc.language.isoengspa
dc.relation.citationEndPage328
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage324
dc.relation.citationTitleJournal of Clinical Anesthesia
dc.relation.citationVolumeVol. 14
dc.relation.ispartofJournal of Clinical Anesthesia, ISSN:9528180, Vol.14, No.5 (2002); pp. 324-328spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-0036696150&doi=10.1016%2fS0952-8180%2802%2900367-7&partnerID=40&md5=a1f6500c4cf38e33dce5470219b8009dspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAtropinespa
dc.subject.keywordintravenouseng
dc.subject.keywordEtilefrinespa
dc.subject.keywordFentanylspa
dc.subject.keywordsevofluraneeng
dc.subject.keywordMorphinespa
dc.subject.keywordNeostigminespa
dc.subject.keywordOndansetronspa
dc.subject.keywordPropofolspa
dc.subject.keywordRemifentanilspa
dc.subject.keywordSevofluranespa
dc.subject.keywordAdolescentspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAmbulatory surgeryspa
dc.subject.keywordAnesthesia inductionspa
dc.subject.keywordArticlespa
dc.subject.keywordBradycardiaspa
dc.subject.keywordClinical articlespa
dc.subject.keywordClinical trialspa
dc.subject.keywordContinuous infusionspa
dc.subject.keywordControlled clinical trialspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCornea reflexspa
dc.subject.keywordDose calculationspa
dc.subject.keywordDrug infusionspa
dc.subject.keywordDrug usespa
dc.subject.keywordEar nose throat diseasespa
dc.subject.keywordElective surgeryspa
dc.subject.keywordExtubationspa
dc.subject.keywordFemalespa
dc.subject.keywordHealth statusspa
dc.subject.keywordHumanspa
dc.subject.keywordHypotensionspa
dc.subject.keywordIntermethod comparisonspa
dc.subject.keywordIntravenous anesthesiaspa
dc.subject.keywordLength of stayspa
dc.subject.keywordMalespa
dc.subject.keywordMinimum lung alveolus concentrationspa
dc.subject.keywordNursingspa
dc.subject.keywordOrientationspa
dc.subject.keywordOtorhinolaryngologyspa
dc.subject.keywordPainspa
dc.subject.keywordPatient satisfactionspa
dc.subject.keywordPriority journalspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordScoring systemspa
dc.subject.keywordSingle blind procedurespa
dc.subject.keywordSurgical patientspa
dc.subject.keywordUniversity hospitalspa
dc.subject.keywordVomitingspa
dc.subject.keywordAdolescentspa
dc.subject.keywordAdultspa
dc.subject.keywordAmbulatory surgical proceduresspa
dc.subject.keywordAnesthesia recovery periodspa
dc.subject.keywordAnesthesiaeng
dc.subject.keywordAnestheticseng
dc.subject.keywordAnestheticseng
dc.subject.keywordFemalespa
dc.subject.keywordFentanylspa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMethyl ethersspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordOtorhinolaryngologic surgical proceduresspa
dc.subject.keywordPiperidinesspa
dc.subject.keywordPropofolspa
dc.subject.keywordProspective studiesspa
dc.subject.keywordSingle-blind methodspa
dc.subject.keywordTime factorsspa
dc.subject.keywordAnestheticseng
dc.subject.keywordOpioidseng
dc.subject.keywordAmbulatory Surgeryeng
dc.titleComparison of total intravenous anesthesia and sevoflurane-fentanyl anesthesia for outpatient otorhinolaryngeal surgeryspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
Archivos
Colecciones
Artículos