Randomized Comparison of Isoflurane and Sevoflurane for Laparoscopic Gastric Banding in Morbidly Obese Patients

Torri, G.; Casati, Andrea; Albertin, A.; Comotti, Laura; Bignami, Elena; Scarioni, Monica; Paganelli, Michele

doi:10.1016/s0952-8180(01)00330-0

Cited by 58 publications

(35 citation statements)

References 23 publications

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“…4). In the study by Torri et al, 20 the patients in the sevoflurane group required a significantly shorter mean (SD) time for eye opening than those in the isoflurane group [8.9 (3.9) min vs 15.6 (6.9) min, respectively; P \ 0.001] and similarly for hand squeezing [12.2 (4.0) min vs 21.9 (7.1) min, respectively; P \ 0.001]. 21 Nevertheless, no significant difference was observed between patients treated with propofol or sevoflurane.…”

Section: Isoflurane Vs Sevofluranementioning

confidence: 94%

“…19,20 The sevoflurane groups required a significantly shorter time for tracheal extubation than the isoflurane groups (WMD: -7.48 min; 95% CI: -4.45 to -10.52). Moderate heterogeneity between the two groups was observed (I 2 = 55%; Chi square = 2.23; P = 0.14) (Fig.…”

Section: Isoflurane Vs Sevofluranementioning

confidence: 99%

“…3,[13][14][15][16][17][18] Two studies compared the recovery profiles of patients given sevoflurane vs isoflurane for maintenance of anesthesia. 19,20 Another two studies compared the recovery parameters of patients given intravenous anesthesia with those given propofol and inhalational anesthesia. 21,22 The average anesthetic duration ranged from 112 to 275 min.…”

Section: 13-22mentioning

confidence: 99%

“…2. Three studies used acceptable methods of randomization, 17,18,20 and four studies clearly described the method of allocation concealment. 3,13,20,21 Three studies did not mention the blinding procedure, 15,19,22 and only one reported no blinding of the outcome assessors.…”

Section: 13-22mentioning

confidence: 99%

“…Three studies used acceptable methods of randomization, 17,18,20 and four studies clearly described the method of allocation concealment. 3,13,20,21 Three studies did not mention the blinding procedure, 15,19,22 and only one reported no blinding of the outcome assessors. 18 Eight studies incorporated an intention-to-treat analysis, 3,13,15,16,[18][19][20]22 and in all trials, an acceptable number of patients (\ 20%) withdrew during the follow-up periods .…”

Section: 13-22mentioning

confidence: 99%

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Postoperative recovery after anesthesia in morbidly obese patients: a systematic review and meta-analysis of randomized controlled trials

Liu

Cherng

Chen

et al. 2015

Can J Anesth/J Can Anesth

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Purpose Obese patients present a challenge to safe general anesthesia because of impaired cardiopulmonary physiology and increased risks of aspiration and acute upper airway obstruction. Since studies are lacking regarding the postoperative effects on recovery from general anesthesia in morbidly obese patients, we conducted a systematic review and meta-analysis of recovery outcomes in morbidly obese patients who had undergone general anesthesia.Source We systematically searched the PubMed, EMBASE TM , Cochrane, and Scopus TM databases for randomized controlled trials that evaluated the outcome of anesthesia with desflurane, sevoflurane, isoflurane, or propofol in morbidly obese patients. Using a random effects model, we conducted meta-analyses to assess recovery times (eye opening, hand squeezing, tracheal extubation, and stating name or birth date), time to discharge from the postanesthesia care unit (PACU), and the incidence and severity of postoperative nausea and vomiting (PONV). Principal findings We reviewed results for 11 trials and found that patients given desflurane took less time: to respond to commands to open their eyes (weighted mean difference [WMD] -3.10 min; 95% confidence interval (CI): -5.13 to -1.08), to squeeze the investigator's hand (WMD -7.83 min; 95% CI: -8.81 to -6.84), to be prepared for tracheal extubation (WMD -3.88 min; 95%

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Section: Isoflurane Vs Sevofluranementioning

confidence: 94%

Section: Isoflurane Vs Sevofluranementioning

confidence: 99%