Vomiting after a pediatric adenotonsillectomy: comparison between propofol induced sevoflurane-nitrous oxide maintained anesthesia and TIVA with propofol-remifentanil

Chung, Jae Hyun; Kim, Yoon Hee; Ko, Young Bok; Lee, Sun Yeul; Nam, Yoon-Tae; Yoon, Seong‐Ho

doi:10.4097/kjae.2010.59.3.185

Cited by 9 publications

(10 citation statements)

References 28 publications

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“…The incidence of PONV in the PACU was the same in both groups with only one patient per group experiencing nausea. These results contradict studies that found the incidence of PONV to be significantly reduced in patients that received TIVA with propofol compared to patients that received inhalational anesthesia using sevoflurane [6,9,10] or inhalational anesthesia using other volatile anesthetics [11,12]. Although our study was limited by the number of patients enrolled (n=23), our findings are consistent with other larger studies that compared the incidence of PONV in patients anesthetized with TIVA using propofol and patients anesthetized with inhalational anesthesia using sevoflurane.…”

Section: Discussionsupporting

confidence: 69%

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

Cattano¹,

Gomez-Rivera²

2012

J Anesth Clin Res

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Background: Propofol is an intravenous anesthetic with known antiemetic properties. Less confirmed are its potential analgesic or antinociceptive postoperative effects when used as a maintenance anesthetic during surgery. We compared the postoperative effects of total intravenous anesthesia (TIVA) with propofol to those of inhalational anesthesia with sevoflurane and looked for differences in the quality of recovery of patients. Methods: We studied 23 patients scheduled to undergo endoscopic sinus surgery (ESS). Using a doubleblind experimental method, we randomly assigned patients to receive either TIVA with propofol/remifentanil (PR) or inhalational anesthesia with sevoflurane/remifentanil (SR). We measured degree of pain (per visual analog scale where 1=no pain and 10=worst pain imaginable), incidence of nausea and vomiting, and duration of recovery postoperatively. Results: Mean pain rating was 3.4±3.3 in the PR group and 5.3±2.8 in the SR group. Median pain rating was 3±3 in the PR group and 5.5±1.5 in the SR group. In the PR group, 3 out of 12 patients reported a pain score > 4; In the SR group, 6 out of 10 patients reported a pain score > 4. Only 1 incidence of nausea was reported per group. Narcotics administered were comparable between both groups. Mean recovery time was 67±30 minutes in the PR group and 69±27 minutes in the SR group. Conclusion: We found no statistically significant difference between TIVA with propofol and inhalational anesthesia with sevoflurane as they relate to postoperative pain, nausea and vomiting, narcotic administration, and recovery time. J o u rn al of A n e s th es ia & C li n ic a l Resea rc h

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Section: Discussionsupporting

confidence: 69%

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

Cattano¹,

Gomez-Rivera²

2012

J Anesth Clin Res

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“…These results contradict studies that found the incidence of PONV to be significantly reduced in patients that received TIVA with propofol compared to patients that received inhalational anesthesia using sevoflurane [6,9,10] or inhalational anesthesia using other volatile anesthetics [11,12]. Although our study was limited by the number of patients enrolled (n=23), our findings are consistent with other larger studies that compared the incidence of PONV in patients anesthetized with TIVA using propofol and patients anesthetized with inhalational anesthesia using sevoflurane.…”

Section: Discussioncontrasting

confidence: 57%

“…Although lidocaine was administered intravenously before the induction dose of propofol and locally to the sinuses, it was administered in both groups. Given the short half-life of lidocaine (approximately 10 minutes after initial parenteral administration and, after 30 minutes, a slower elimination phase of about 90 minutes) [9], the initial administration would have been metabolized by the end of surgery and it is unlikely that it had any effect post-operatively. Any molecular or chemical effects it may have had would have been present in both groups and therefore negligible.…”

Section: Discussionmentioning

confidence: 99%

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

Cattano

Gomez-Rivera

Seitan

et al. 2013

J Anesthe Clinic Res

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“…Although the incidence of complications was significantly higher in the sevoflurane group, which showed conflicting results with rSO 2 values, all complications in the sevoflurane group were nausea. However, it is well known that PONV occur more frequently in sevoflurane anesthesia than in propofol anesthesia [ 27 ]. It is difficult to determine whether the nausea was a simple PONV or a complication of increased ICP.…”

Section: Discussionmentioning

confidence: 99%

The effects of sevoflurane and propofol anesthesia on cerebral oxygenation in gynecological laparoscopic surgery

Kim

Kwon

Cho

et al. 2011

Korean J Anesthesiol

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BackgroundBoth the Trendelenburg position and pneumoperitoneum with carbon dioxide have been reported to increase intracranial pressure (ICP) and to alter cerebral blood flow or cerebral blood volume. Also anesthetic agents have variable effects on cerebral hemodynamics and ICP. The present study was conducted to determine whether regional cerebral oxygen saturation (rSO2) values differ between propofol and sevoflurane anesthesia during laparoscopic surgery in the Trendelenburg position.MethodsThirty-two adult women undergoing gynecological laparoscopic surgery were divided into sevoflurane and propofol groups. rSO2 values were recorded at 10 min after induction in the neutral position (Tpre), 10 min after the pneumoperitoneum in the Trendelenburg position (Tpt) and 10 min after desufflation in the neutral position (Tpost). For analysis of rSO2, we did ANOVA and univariate two-way ANCOVA with covariates being mean arterial pressure and end tidal carbon dioxide tension.ResultsBetween sevoflurane and propofol groups, the change in rSO2 was significantly different even after ANCOVA. rSO2 at Tpt (76.3 ± 5.9% in sevoflurane vs 69.4 ± 5.8% in propofol) and Tpost (69.5 ± 7.1% in sevoflurane vs 63.8 ± 6.6% in propofol) were significantly higher in the sevoflurane group compared with the propofol group. In the propofol group, rSO2 at Tpost was significantly lower than at Tpre (71.1 ± 4.8%) and cerebral oxygen desaturation occurred in two patients (14.3%).ConclusionsSignificantly lower rSO2 values were observed in the propofol group during gynecological laparoscopic surgery. The possibility of cerebral oxygen desaturation should not be overlooked during propofol anesthesia even after desufflation of the abdomen in the neutral position.

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Vomiting after a pediatric adenotonsillectomy: comparison between propofol induced sevoflurane-nitrous oxide maintained anesthesia and TIVA with propofol-remifentanil

Cited by 9 publications

References 28 publications

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

Post-Operative Effects: Comparison of Total Intravenous and Inhalational Anesthesia

The effects of sevoflurane and propofol anesthesia on cerebral oxygenation in gynecological laparoscopic surgery

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