Évaluation de la faisabilité et de l’acceptabilité de la prise en charge en ambulatoire des patients opérés de décollement de rétine

Boujnah, Y.; Chellouai, W. Bezza; Marty, Anne-Sophie; Beccat, Sylvain; Boucher, Samuel; Burillon, C.

doi:10.1016/j.jfo.2013.05.016

Cited by 4 publications

(1 citation statement)

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“…Several ophthalmic surgeries are commonly performed in an outpatient setting, so retina surgery such as vitrectomy is also considered as a candidate for ambulatory surgery. [ 6 , 7 ] However, vitrectomy may require general anesthesia because of long operation time and delicate manipulation. [ 8 , 9 ] Hence, it is important to choose an anesthetic method with high quality of recovery to successfully perform retinal surgery under the general anesthesia as ambulatory surgery.…”

Section: Introductionmentioning

confidence: 99%

Patient quality of recovery on the day of surgery after propofol total intravenous anesthesia for vitrectomy

Jeong

Eum

et al. 2018

Medicine

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Background:Vitrectomy under general anesthesia is considered as a candidate for ambulatory surgery. An anesthetic method with high quality of postoperative recovery should be selected for successful ambulatory surgery. We thus compared quality of postoperative recovery on the day of vitrectomy using the Quality of Recovery (QoR)-40 questionnaire between propofol total intravenous anesthesia (propofol group) and desflurane inhalation anesthesia (desflurane group) as the 2 representative anesthetic methods.Methods:Eighty-four patients (20–80 years old) undergoing elective vitrectomy under general anesthesia were randomized into 2 groups. The propofol group received propofol and remifentanil using effect-site target-controlled infusion (TCI), and the desflurane group received desflurane inhalation and remifentanil using effect-site TCI. We assessed quality of recovery at 6 hours after surgery through interviews using the QoR-40 questionnaire. We also collected data related to recovery and complications during emergence and recovery period.Results:The median of QoR-40 score on the day of surgery was significantly higher in the propofol group than that in the desflurane group (181.0 vs 169.5, respectively; P = .033). In particular, propofol group had significantly higher scores for physical comfort and physical independence dimensions. The amount of remifentanil administered was significantly higher, and the emergence time was significantly longer in propofol group. However, there were no significant differences in other complications between the 2 groups.Conclusions:Propofol total intravenous anesthesia provided significantly better quality of recovery on the day of surgery than desflurane inhalation anesthesia.

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Section: Introductionmentioning

confidence: 99%