Analysis of anesthesia-controlled operating room time after propofol-based total intravenous anesthesia compared with desflurane anesthesia in functional endoscopic sinus surgery

Abstract

Anesthesia technique may contribute to the improvement of operation room (OR) efficiency by reducing anesthesia-controlled time. We compared the difference between propofol-based total intravenous anesthesia (TIVA) and desflurane anesthesia (DES) for functional endoscopic sinus surgery (FESS) undergoing general anesthesiaWe performed a retrospective study using data collected in our hospital to compare the anesthesia-controlled time of FESS using either TIVA via target-controlled infusion with propofol/fentanyl or DES/fentanyl-based anesthesia between January 2010 and December 2011. The various time intervals (surgical time, anesthesia time, extubation time, total OR stay time, post anesthesia care unit [PACU] stay time) and the percentage of prolonged extubation were compared between the 2 anesthetic techniques.We included data from 717 patients, with 305 patients receiving TIVA and 412 patients receiving DES. An emergence time >15 minutes is defined as prolonged extubation. The extubation time was faster (8.8 [3.5] vs. 9.6 [4.0] minutes; P = .03), and the percentage of prolonged extubation was lower (7.5% vs. 13.6%, risk difference 6.1%, P < .001) in the TIVA group than in the DES group. However, there was no significant difference between ACT, total OR stay time, and PACU stay time.In our hospital, propofol-based TIVA by target-controlled infusion provide faster emergence and lower chance of prolonged extubation compared with DES anesthesia in FESS. However, the reduction in extubation time may not improve OR efficiency.

Propofol-based total intravenous anesthesia did not improve survival compared to desflurane anesthesia in breast cancer surgery

“…When the patient regained consciousness with spontaneous and smooth breathing, the endotracheal tube was removed. Then the patients were transferred to the post-anesthetic care unit for further care [16, 17].…”

Adjunctive dexmedetomidine infusion in open living donor hepatectomy: A way to enhance postoperative analgesia and recovery

“…8,9,19,20,22 There may be two reasons for this outcome: anaesthesia technique and depth of anaesthesia monitoring. Because propofol-based TIVA by TCI has been demonstrated to lead to a faster extubation time than inhalational anaesthesia, 23 the extent of shortening the extubation time attributed to the anaesthetic-sparing effect of DEX may be limited in this advanced setting. Furthermore, utilisation of BIS monitoring could provide information that would allow prompt adjustment of the concentration of propofol, which may result in no delay in the time to extubation after the completion of surgery.…”

Effects of Three Different Methods of General Anesthesia on Postoperative Renal and Hepatic Functions in Robot-Assisted Laparoscopic Radical Prostatectomy Patients

“…Volatile anesthetics have been used in various surgeries including RLRP. In the most recent studies, TIVA was used during various types of surgical procedures such as living donor hepatectomy and endoscopic sinus surgery, and the postoperative conditions were compared with surgery using volatile anesthetics (12,13). It is well known that the metabolized products of volatile anesthetics are eliminated exclusively by the kidneys (14).…”