Inhalation anaesthesia is cost-effective for ambulatory surgery: a clinical comparison with propofol during elective knee arthroscopy

THIS ARTICLE HAS BEEN RETRACTED: Early recovery, cognitive function and costs of a desflurane inhalational vs. a total intravenous anaesthesia regimen in long‐term surgery

“…Higher costs in the TIVA group were not compensated by a quicker orientation, higher Aldrete score or less use of antiemetics, although PONV was significantly lower in the TIVA group. This is in agreement with Dolk et al (16) who showed a significant reduction in drug costs with desflurane compared with TIVA. In the present study, costs using desflurane would have even been lower with a fresh gas flow <1 l/min.…”

“…Some studies failed to show any clinical improvements in emergence times (12–14), whereas others reported a faster emergence and return of cognitive function in comparison to desflurane and sevoflurane (15). Our results showing faster times to extubation, wakefulness and individual orientation using desflurane than with a propofol/remifentanil regimen are in agreement with other studies and a meta‐analysis (16–19).…”

Desflurane vs. sevoflurane as the main inhaled anaesthetic for spontaneous breathing via a laryngeal mask for varicose vein day surgery: a prospective randomized study

“…In our study, all patients were induced with propofol. Our positive findings including emergence and recovery results, also agree with earlier findings at our institution comparing desflurane, sevoflurane and propofol with a fresh gas flow consisting of oxygen in nitrous oxide (9, 10). The lack of differences during the recovery period (pain, nausea, general discomfort and patient satisfaction) also agrees well with the last meta‐analysis comparing sevoflurane and desflurane (3).…”

Sevoflurane: an ideal agent for adult day‐case anesthesia?

“…However, subsequent recovery events did not differ between the two agents. Six other comparisons found no significant differences in any of the main recovery parameters between desflurane and sevoflurane, including awakening times (12–17). The proportion of patients judged sufficiently recovered to be able to bypass the recovery room (‘fast‐track’ recovery) also did not differ significantly between desflurane and sevoflurane (13, 14).…”