Fast-track eligibility, costs and quality of recovery after intravenous anaesthesia with propofol-remifentanil versus balanced anaesthesia with isoflurane-alfentanil

Cost drivers in anesthesia: manpower, technique and other factors

“…Similar results in terms of bypassing the PACU were found in a study in 120 patients undergoing ENT surgery who randomly received propofol/remifentanil or isoflurane/alfentanil anesthesia [25]. Although more patients in the TIVA group were able to bypass the PACU after extubation (80% vs 49%) and spared costs of €6 per patient, propofol/remifentanil caused higher drug-related costs (€89 vs €78) making this technique more cost intensive than balanced anesthesia.…”

Reduced‐dose rocuronium for day‐case tonsillectomy in children where volatile anaesthetics are not used: operating room time saving

“…Eberhart has shown in 120 patients undergoing ear, nose and throat surgery that the times from the end of surgery to tracheal extubation and the time until leaving the operating room were not different between intravenous anesthesia with propofol–remifentanil when compared with a balanced anesthesia technique using isoflurane–alfentanil. There also was no difference in the quality of recovery between the two groups (32). Comparing three different anesthesia induction and maintenance (propofon, propofol, and sevoflourane), Smith I and co‐workers found that induction of anesthesia was the fastest in propofol and propofol/sevoflourane group, although spontaneous ventilation resumed earliest in sevoflourane group.…”

A Novel and Effective Balanced Intravenous-Inhalant Anaesthetic Protocol in Swine by Using Unrestricted Drugs

“…in the last decade, the development of new protocols for balanced anaesthesia has been carried out in human [17,18,21,34,47,50], whereas the last two papers about balanced anaesthesia in swine were from 90 th years [16,56]. effectively, in veterinary practice inhalant anesthetic agents are the preferred method for maintenance of general anaesthesia since they are easy to be administered, the depth of anaesthesia can be rapidly and predictably modulated, and the recovery time is rapid [31].…”