A comparison of total intravenous anaesthesia using propofol with sevoflurane or desflurane in ambulatory surgery: systematic review and meta‐analysis

Kumar, Gautam; Stendall, C.; Mistry, RD; Gurusamy, Kurinchi Selvan; Walker, D.

doi:10.1111/anae.12713

Cited by 106 publications

(84 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Participants were more nauseated after maintenance with desflurane than propofol, which is in keeping with other trials [27,28]. However, we also gave thiopentone to participants anaesthetised with desflurane, which causes more postoperative nausea and vomiting than propofol [29,30].…”

Section: Discussionsupporting

confidence: 80%

A randomised controlled trial of propofol vs. thiopentone and desflurane for fatigue after laparoscopic cholecystectomy

et al. 2017

View full text Add to dashboard Cite

Fatigue may delay functional recovery after day surgery and may be more common after propofol anaesthesia. We randomly allocated 123 participants scheduled for ambulatory laparoscopic cholecystectomy to induction and maintenance of general anaesthesia with propofol or thiopentone and desflurane. Postoperative fatigue was unaffected by the allocated anaesthetic. The combined mean (SD) Identity-Consequences Fatigue Scale of 34.3 (15.1) before surgery increased in the first postoperative week: to 60.4 (21.1) on day 1, p < 0.001; to 51.1 (17.2) on day 2, p < 0.001; and to 37.5 (16.3) on day 6, p = 0.028. The mean (SD) fatigue reduced at one postoperative month to 22.4 (12.6), 35% less than the combined pre-operative level, p < 0.001. Rates of nausea, vomiting and rescue antie-mesis during the first week after propofol, compared with thiopentone and desflurane, were: 23/63 vs. 32/60, p = 0.27; 8/63 vs. 9/60, p = 0.71; and 12/63 vs. 28/60, p = 0.001, respectively. There were no differences in postoperative pain. In conclusion, fatigue after scheduled laparoscopic cholecystectomy was unaffected by anaesthesia with propofol vs. thiopentone and desflurane.

show abstract

Section: Discussionsupporting

confidence: 80%

A randomised controlled trial of propofol vs. thiopentone and desflurane for fatigue after laparoscopic cholecystectomy

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Then, the prevention and treatment of nausea and vomiting have become important subjects in anesthesiology [3]. Currently, even with new anesthetic techniques, which involve the use of prophylactic agents and the selection of anesthetics with lower emetic potentials, the incidence of PONV has not decreased and is still approximately 20% to 30% [4] [5] [6].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

Yin¹,

Bráz²,

Colares³

et al. 2017

OJAnes

View full text Add to dashboard Cite

Objective: To compare P6 acupuncture plus ondansetron with either ondansetron or P6 acupuncture in the prevention of postoperative nausea and vomiting (PONV) in patients submitted to spinal anesthesia. Methods: A randomized controlled trial was performed with 90 patients undergoing orthopedic surgery under spinal anesthesia with bupivacaine, 15 to 17.5 mg, and morphine, 100 μg. They were assigned to one of the three groups: Group Ondansetron (n = 30), patients were given ondansetron, 8 mg intravenously, before spinal block was performed; Group P6 acupuncture (n = 30), patients were subjected to bilateral electrical stimulation of P6 acupoint for 30 minutes before anesthesia; and Group P6 acupuncture plus ondansetron (n = 30), the exact combination of the groups Ondansetron and P6 acupuncture. Results: In the post anesthesia care unit, the incidence of nausea and vomiting ranged from 13.3% to 26.7% and from 6.7% to 13.3%, respectively, with no significant differences among groups (p > 0.05). Ondansetron group had the highest incidence of nausea (73.3%) (p < 0.001) and vomiting (43.3%) (p < 0.001) at the ward from 0 to 24 hours, followed by P6 acupuncture (33.3% and 26.7%) and P6 acupuncture plus ondansetron groups (16.0% and 0%). Conclusion: Preoperative stimulation of P6 acupoint in combination with ondansetron has higher efficacy than either P6 acupoint stimulation or the administration of

show abstract

“…Although most studies (14,15) come from analysis of human surgeries the same principle applies and inhalational maintenance of anaesthesia is more appropriate from a financial point of view.…”

Section: Discussion Discussionmentioning

confidence: 99%

A New Protocol of Inhalatory Induction of Anaesthesia in Experimental Swine Surgery. A Pilot Study

Popescu¹,

David²,

Pautov³

et al. 2016

JTMR

View full text Add to dashboard Cite

Induction of Anaesthesia in swine may prove to be difficult because of the differences in anatomy and physiology. Intubation of large animals is especially difficult due to the length of the snout and the relative difficulty of obtaining adequate relaxation. The present study is aimed to compare two induction techniques for tracheal intubation in pigs. The secondary aim was to assess the effectiveness of a new anaesthetic protocol for experimental surgery. For this, six female pigs underwent two liver surgeries each. Induction of anaesthesia was performed either using intravenous propofol and fentanyl (IV intravenous group) or by using Sevoflurane (inhalatory group). The attending anaesthesiologist was asked to grade the ease of intubation from a scale between 1 and 5. Orotracheal intubation was easier to obtain in the inhalatory group (p=0.00) and a smaller number of attempts were necessary (p=0.00). A lower End-tidal CO2 after intubation was observed in the inhalatory group (p=0.05). There were no differences in both systolic (p=0.11) and diastolic (p=0.72) arterial pressure and heart rate (p=0.16) after induction of anaesthesia between the two groups. Maintenance of anaesthesia was made using Sevoflurane and boluses of fentanyl for adequate analgesia while no muscle relaxants were used. Intravenous morphine and ketoprofen were used for postoperative analgesia. In conclusion, volatile induction of anaesthesia is safe and offers a better view of the larynx in large swine, while the proposed anaesthetic protocol provides adequate anaesthesia for the surgeons and assures comfort to the animals.

show abstract

A comparison of total intravenous anaesthesia using propofol with sevoflurane or desflurane in ambulatory surgery: systematic review and meta‐analysis

Cited by 106 publications

References 60 publications

A randomised controlled trial of propofol vs. thiopentone and desflurane for fatigue after laparoscopic cholecystectomy

A randomised controlled trial of propofol vs. thiopentone and desflurane for fatigue after laparoscopic cholecystectomy

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

A New Protocol of Inhalatory Induction of Anaesthesia in Experimental Swine Surgery. A Pilot Study

Contact Info

Product

Resources

About