keyword
https://read.qxmd.com/read/38487133/comparing-perioperative-outcomes-of-total-intravenous-anesthesia-tiva-with-volatile-anesthesia-in-patients-with-obesity-a-systematic-review
#1
REVIEW
Faiza A Kamal, Lucas Y Fernet, Naofal K Da Silva, Gabriela Briceño, Nusrath Iyoob, Kenneth Aleman Paredes, Marily Martinez Ramirez, Victor S Arruarana
In this systematic review, the perioperative outcomes of total intravenous anesthesia (TIVA) and volatile anesthesia were compared in obese adults (BMI ≥ 30 kg/m²) undergoing elective surgery. The review analyzed data from 12 randomized-controlled trials involving 935 patients, sourced from PubMed/MEDLINE (Medical Literature Analysis and Retrieval System Online), Cochrane, Scopus, and Web of Science databases. The focus was on intraoperative vital signs, emergence time, postoperative nausea and vomiting (PONV), duration of post-anesthesia care unit (PACU) stay, and ICU admission rates...
February 2024: Curēus
https://read.qxmd.com/read/38195081/effect-of-volatile-anesthesia-versus-intravenous-anesthesia-on-postoperative-pulmonary-complications-in-patients-undergoing-minimally-invasive-esophagectomy-a-randomized-clinical-trial
#2
JOURNAL ARTICLE
Yu-Tong Zhang, Ying Chen, Kai-Xi Shang, Hong Yu, Xue-Fei Li, Hai Yu
BACKGROUND: The effect of intraoperative anesthetic regimen on pulmonary outcome after minimally invasive esophagectomy for esophageal cancer is yet undetermined. The aim of this study was to determine the effect of volatile anesthesia (sevoflurane or desflurane) compared with propofol-based intravenous anesthesia on pulmonary complications after minimally invasive esophagectomy. METHODS: Patients scheduled for minimally invasive esophagectomy were randomly assigned to 1 of 3 general anesthetic regimens (sevoflurane, desflurane, or propofol)...
January 9, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/37791946/comparison-of-the-effects-of-desflurane-and-sevoflurane-on-variations-in-salivary-melatonin-and-sleep-disturbance-after-total-knee-arthroplasty-a-single-center-prospective-randomized-controlled-open-label-study
#3
RANDOMIZED CONTROLLED TRIAL
Kazunao Mori, Toru Komatsu, Yoshihiro Fujiwara, Yoshihito Fujita
PURPOSE: Anesthesia has been shown to disrupt the circadian rhythm. Recovery of the circadian rhythm after general anesthesia might help alleviate symptoms of insomnia and postoperative delirium. We hypothesized that recovery of the circadian rhythm is faster after total knee arthroplasty (TKA) with desflurane than with sevoflurane. This study compared the influence of sevoflurane versus desflurane anesthesia on the postoperative circadian rhythm of melatonin in adults undergoing TKA...
February 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/37713329/postanesthesia-care-unit-recovery-time-according-to-volatile-anesthetic-used-in-clinical-practice
#4
JOURNAL ARTICLE
Juraj Sprung, Atousa Deljou, David O Warner, Darrell R Schroeder, Toby N Weingarten
BACKGROUND: Whether volatile anesthetic solubility affects postanesthesia recovery time in clinical practice is unclear. We investigated the association among 3 volatile agents and 2 clinically relevant outcomes-postanesthesia care unit (PACU) recovery time (time from PACU admission to fulfillment of discharge criteria) and oversedation (Richmond Agitation-Sedation Scale score ≤-3)-as a potential contributor to delaying PACU discharge. The volatile agents studied were isoflurane, desflurane, and sevoflurane...
November 1, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/37654338/comparison-of-the-sevoflurane-versus-desflurane-anaesthesia-on-the-recovery-of-airway-reflexes-and-cognitive-function-an-original-research
#5
JOURNAL ARTICLE
Anish Nelson, S Sudhakar, Jagannath Mishra, Hemanth Kumar Tirupathi, Vishnu Gowtham Marella, Vishal S Kudagi
BACKGROUND AND OBJECTIVES: Sevoflurane and desflurane virtually equally dissolve in blood gases, yet current research suggests that desflurane helps in a quick return of airway reflex than sevoflurane however the return of cognitive activity fluctuates greatly. In order to compare the lengths of time required to recover after sevoflurane and desflurane anesthesia, the current research was conducted. MATERIALS AND METHODS: Current study was randomized that included 100 subjects who were posted for cholecystectomy (elective)...
July 2023: Journal of Pharmacy & Bioallied Sciences
https://read.qxmd.com/read/37345096/the-potential-effect-of-general-anesthetics-in-cancer-surgery-meta-analysis-of-postoperative-metastasis-and-inflammatory-cytokines
#6
REVIEW
Ru Li, Mousumi Beto Mukherjee, Zhaosheng Jin, Hengrui Liu, Kevin Lin, Qiuyue Liu, James P Dilger, Jun Lin
Metastasis or recurrence following curative surgery is the main indicator of tumor progress and is the main cause of patient death. For more than three decades, the potential for general anesthesia to affect cancer outcomes has been a subject of concern with considerable research interest. Here, we conducted this systematic review and meta-analysis to summarize the effect of inhalational anesthesia (IHNA) vs. propofol-based total intravenous anesthesia (TIVA) on metastasis and recurrence after cancer surgery from clinical and pre-clinical studies...
May 15, 2023: Cancers
https://read.qxmd.com/read/37291773/comparing-recovery-from-desflurane-and-sevoflurane-in-patients-with-different-body-fat-percentages-a-randomized-controlled-trial
#7
Silu Cao, Huijuan Wang, Lijun Tang, Guanghui An
INTRODUCTION: Increased body fat may influence the partition coefficients of inhaled anesthetics. We compared patient responses to desflurane and sevoflurane anesthesia, as measured by a quicker recovery and fewer complications, in patients with higher body fat percentages, not only obese people. METHODS: This study included 120 patients. Participants were stratified into low or high body fat percentages groups using bioelectrical impedance analysis and were randomized 1:1 to receive desflurane or sevoflurane as an inhaled anesthetic, recorded as Low-Desflurane, Low-Sevoflurane, High- Desflurane, and High-Sevoflurane...
April 7, 2023: Current Drug Delivery
https://read.qxmd.com/read/37086000/sevoflurane-and-desflurane-effects-on-early-cognitive-function-after-low-risk-surgery-a-randomized-clinical-trial
#8
JOURNAL ARTICLE
Vilma Kuzminskaite, Egle Kontrimaviciute, Evaldas Kauzonas, Ieva Slauzgalvyte, Greta Bukelyte, Greta Bruzyte-Narkiene, Dalius Jatuzis
BACKGROUND AND OBJECTIVES: Deleterious effects on short-term and long-term quality of life have been associated with the development of postoperative cognitive dysfunction (POCD) after general anesthesia. Yet, the progress in the field is still required. Most of the studies investigate POCD after major surgery, so scarce evidence exists about the incidence and effect different anesthetics have on POCD development after minor procedures. In this study, we compared early postoperative cognitive function of the sevoflurane and desflurane patients who experienced a low-risk surgery of thyroid gland...
April 21, 2023: Brain and Behavior
https://read.qxmd.com/read/36939497/impact-of-pharmacological-interventions-on-intrapulmonary-shunt-during-one-lung-ventilation-in-adult-thoracic-surgery-a-systematic-review-and-component-network-meta-analysis
#9
JOURNAL ARTICLE
Raoul Schorer, Anna-Luna Dombret, Andres Hagerman, Benoît Bédat, Alessandro Putzu
BACKGROUND: Intrapulmonary shunt is a major determinant of oxygenation in thoracic surgery under one-lung ventilation. We reviewed the effects of available treatments on shunt, Pao2 /FiO2 and haemodynamics through systematic review and network meta-analysis. METHODS: Online databases were searched for RCTs comparing pharmacological interventions and intrapulmonary shunt in thoracic surgery under one-lung ventilation up to March 30, 2022. Random-effects (component) network meta-analysis compared 24 treatments and 19 treatment components...
January 2023: British Journal of Anaesthesia
https://read.qxmd.com/read/36819718/desflurane-is-risk-factor-for-postoperative-delirium-in-older-patients-independent-from-intraoperative-burst-suppression-duration
#10
JOURNAL ARTICLE
Susanne Koch, Benjamin Blankertz, Victoria Windmann, Claudia Spies, Finn M Radtke, Vera Röhr
BACKGROUND: Postoperative Delirium (POD) is the most frequent neurocognitive complication after general anesthesia in older patients. The development of POD is associated with prolonged periods of burst suppression activity in the intraoperative electroencephalogram (EEG). The risk to present burst suppression activity depends not only on the age of the patient but is also more frequent during propofol anesthesia as compared to inhalative anesthesia. The aim of our study is to determine, if the risk to develop POD differs depending on the anesthetic agent given and if this correlates with a longer duration of intraoperative burst suppression...
2023: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/36408115/the-effects-of-anesthesia-methods-and-anesthetics-on-postoperative-delirium-in-the-elderly-patients-a-systematic-review-and-network-meta-analysis
#11
Xuhui Zhuang, Yuewen He, Yurui Liu, Jingjing Li, Wuhua Ma
STUDY OBJECTIVE: Postoperative delirium (POD) is one of the serious postoperative complications in elderly patients, which is always related to long-term mortality. Anesthesia is often considered a risk factor for POD. This systematic review and network meta-analysis (NMA) aimed to assess the impact of different anesthesia methods and anesthetics on POD. MEASUREMENTS: We searched for studies published in PubMed, Embase, Web of Science, Scopus, and Cochrane Library (CENTRAL) from inception to 18 March 2022...
2022: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/35845953/the-effects-of-switching-from-sevoflurane-to-short-term-desflurane-prior-to-the-end-of-general-anesthesia-on-patient-emergence-and-recovery-a-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Ji Wook Kim, Jeong Yup Lee, Si Won Hwang, Dong-Hee Kang, Sie Jeong Ryu, Doo Sik Kim, Ju Deok Kim
While sevoflurane and desflurane have been regarded as inhalation agents providing rapid induction and emergence, previous studies demonstrated the superiority of desflurane-anesthesia compared to sevoflurane-anesthesia in the postoperative recovery in obese and geriatric patients. We investigated whether a short-term switch of sevoflurane to desflurane at the end of sevoflurane-anesthesia enhances patient postoperative recovery profile in non-obese patients. We randomly divide patients undergoing elective surgery (n = 60) into two groups: sevoflurane-anesthesia group (Group-S, n = 30) and sevoflurane-desflurane group (Group-SD, n = 30)...
2022: BioMed Research International
https://read.qxmd.com/read/35552287/comparison-of-antinociceptive-properties-between-sevoflurane-and-desflurane-using-pupillary-dilation-reflex-under-equivalent-minimum-alveolar-concentration-a-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Soo Yeon Kim, Ji-Yoon Kim, Jonghae Kim, Seungcheol Yu, Kwang Hyun Lee, Hyeon Seok Lee, Min Seok Oh, Eugene Kim
BACKGROUND: The pupillary dilation reflex (PDR), the change in pupil size after a nociceptive stimulus, has been used to assess antinociception during anesthesia. The aim of this study was to compare the antinociceptive properties of sevoflurane and desflurane by measuring the PDR amplitude. METHODS: Seventy patients between 20 and 55 years of age were randomly allocated to receive either sevoflurane or desflurane. The PDR amplitude after an electrical standardized noxious stimulation (SNT) was measured using an infrared pupillometer under 1...
October 1, 2022: Anesthesia and Analgesia
https://read.qxmd.com/read/34103741/comparative-study-of-recovery-of-airway-reflexes-and-cognitive-function-following-sevoflurane-versus-desflurane-anaesthesia
#14
JOURNAL ARTICLE
Mousumi Saha, Kirti N Saxena, Bharti Wadhwa
BACKGROUND AND AIMS: Sevoflurane and desflurane have almost similar blood-gas solubility but recent studies suggest that desflurane compared to sevoflurane leads to faster recovery of airway reflexes, but the recovery of cognitive function varies significantly. We conducted this study to compare the times of recovery from anaesthesia following desflurane versus sevoflurane anaesthesia. METHODS: This randomised double-blinded study was conducted on 60 patients of American Society of Anesthesiologists (ASA) classification I-II, age between 18 and 60 years with body mass index (BMI) ≤30 kg/m2 who underwent elective cholecystectomy...
April 2021: Indian Journal of Anaesthesia
https://read.qxmd.com/read/33410611/comparative-effect-of-propofol-and-volatile-anesthetics-on-postoperative-pulmonary-complications-after-lung-resection-surgery-a-randomized-clinical-trial
#15
RANDOMIZED CONTROLLED TRIAL
Xue-Fei Li, Jian-Rong Hu, Yan Wu, Ying Chen, Meng-Qiu Zhang, Hai Yu
BACKGROUND: The effect of general anesthetics (propofol and volatile anesthetics) on pulmonary outcome after lung resection surgery with one-lung ventilation (OLV) is yet undetermined. We evaluated the effect of intravenous anesthesia (propofol) and volatile anesthesia (sevoflurane or desflurane) regimens on postoperative pulmonary complications (PPCs) in patients undergoing lung resection surgery. METHODS: This prospective, randomized controlled trial enrolled 555 adult patients scheduled for lung resection surgery with OLV...
October 1, 2021: Anesthesia and Analgesia
https://read.qxmd.com/read/33329787/does-desflurane-need-more-irrigating-pump-pressure-for-the-visibility-in-arthroscopic-shoulder-surgery-than-sevoflurane
#16
JOURNAL ARTICLE
Da Joeng Nam, Sung Hoon Kim, Sang Hoon Park, Haeyeon Lee, Bo Bae Kang, Jae Ho Lee
BACKGROUND: In arthroscopic shoulder surgery, a mechanical fluid-irrigation system is used to wash out blood from the joint. If used at high pressure, it can cause side effects such as fluid extravasation, leading to airway obstruction after surgery. Desflurane is prone to increasing sympathetic nerve activity and plasma catecholamine release more than another inhalation anesthetics. The objective of this study was to determine whether desflurane could increase in the irrigation pump pressure than sevoflurane in shoulder arthroscopy...
January 31, 2020: Anesthesia and pain medicine
https://read.qxmd.com/read/33253427/impact-of-short-acting-vs-standard-anaesthetic-agents-on-obstructive-sleep-apnoea-a-randomised-controlled-triple-blind-trial
#17
RANDOMIZED CONTROLLED TRIAL
E Albrecht, V Bayon, C Hirotsu, R Heinzer
Sleep apnoea is associated with negative outcomes following general anaesthesia. Current recommendations suggest using short-acting anaesthetic agents in preference to standard agents to reduce this risk, but there is currently no evidence to support this. This randomised controlled triple-blind trial tested the hypothesis that a combination of short-acting agents (desflurane-remifentanil) would reduce the postoperative impact of general anaesthesia on sleep apnoea severity compared with standard agents (sevoflurane-fentanyl)...
January 2021: Anaesthesia
https://read.qxmd.com/read/33160604/desflurane-and-sevoflurane-differentially-affect-activity-of-the-subthalamic-nucleus-in-parkinson-s-disease
#18
COMPARATIVE STUDY
Yu-Chen Chen, Shin-Yuan Chen, Tsung-Ying Chen, Jiann-I Pan, Sheng-Tzung Tsai
BACKGROUND: Desflurane and sevoflurane are commonly used during inhalational anaesthesia, but few studies have investigated their effects on deep cerebral neuronal activity. In addition, the association between subthalamic nucleus (STN) neurophysiology and general anaesthesia induced by volatile anaesthetics are not yet identified. This study aimed to identify differences in neurophysiological characteristics of the STN during comparable minimal alveolar concentration (MAC) desflurane and sevoflurane anaesthesia for deep brain stimulation (DBS) in patients with Parkinson's disease...
February 2021: British Journal of Anaesthesia
https://read.qxmd.com/read/33109925/adverse-respiratory-events-with-sevoflurane-compared-with-desflurane-in-ambulatory-surgery-a-systematic-review-and-meta-analysis
#19
JOURNAL ARTICLE
Wei-Shan Chen, Min-Hsien Chiang, Kuo-Chuan Hung, Kai-Lieh Lin, Chih-Hsien Wang, Yan-Yuen Poon, Sheng-Dean Luo, Shao-Chun Wu
BACKGROUND: An increasing number of studies have concluded that the number of adverse events in the upper airway caused by desflurane does not differ significantly from the number of adverse events caused by sevoflurane. The advantages of desflurane in ambulatory surgery should be reassessed. OBJECTIVES: The aim of this study was to compare adverse respiratory events and recovery outcomes in patients undergoing desflurane or sevoflurane-based anaesthesia in ambulatory surgery...
December 2020: European Journal of Anaesthesiology
https://read.qxmd.com/read/32854613/effects-of-desflurane-and-sevoflurane-anesthesia-on-regulatory-t-cells-in-patients-undergoing-living-donor-kidney-transplantation-a-randomized-intervention-trial
#20
JOURNAL ARTICLE
Arpa Chutipongtanate, Sasichol Prukviwat, Nutkridta Pongsakul, Supanart Srisala, Nakarin Kamanee, Nuttapon Arpornsujaritkun, Goragoch Gesprasert, Nopporn Apiwattanakul, Suradej Hongeng, Wichai Ittichaikulthol, Vasant Sumethkul, Somchai Chutipongtanate
BACKGROUND: Volatile anesthetic agents used during surgery have immunomodulatory effects which could affect postoperative outcomes. Recognizing that regulatory T cells (Tregs) plays crucial roles in transplant tolerance and high peripheral blood Tregs associated with stable kidney graft function, knowing which volatile anesthetic agents can induce peripheral blood Tregs increment would have clinical implications. This study aimed to compare effects of desflurane and sevoflurane anesthesia on peripheral blood Tregs induction in patients undergoing living donor kidney transplantation...
August 27, 2020: BMC Anesthesiology
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