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Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire

Authors
 Young-Eun Joe  ;  Chang Moo Kang  ;  Hye-Mi Lee  ;  Ki-Jun Kim  ;  Ho Kyoung Hwang  ;  Jeong-Rim Lee 
Citation
 WORLD JOURNAL OF SURGERY, Vol.45(8) : 2581-2590, 2021-08 
Journal Title
WORLD JOURNAL OF SURGERY
ISSN
 0364-2313 
Issue Date
2021-08
Abstract
Background: There has been increasing attention on the subjective recovery of patients undergoing cancer surgery. Total intravenous anesthesia (TIVA) and inhaled anesthesia with volatile anesthetics (INHA) are safe and common anesthetic techniques. Currently, TIVA and INHA have only been compared for less invasive and less complex surgeries. This prospective randomized trial aimed to compare the quality of recovery between TIVA and INHA in patients undergoing pancreatoduodenectomy (PD) or distal pancreatectomy (DP) using the Quality of Recovery (QOR)-40 questionnaire.

Methods: We enrolled 132 patients who were randomly assigned to either the desflurane (DES) (INHA, balanced anesthesia with DES and remifentanil infusion) or TIVA (effect-site target-controlled infusion of propofol and remifentanil) groups and completed the QOR-40 questionnaire postoperatively.

Results: The mean global QOR-40 score on postoperative day 3 was significantly higher in the TIVA group than in the DES group. In the PD group, the total QOR-40 score was significantly higher in the TIVA group than in the DES group. Moreover, the TIVA group had significantly higher scores in the physical comfort and psychological support QOR-40 dimensions than the DES group.

Conclusion: TIVA provides better quality of recovery scores on POD 3 for patients undergoing curative pancreatectomy.

Clinical trial registration number: NCT03447691.
Full Text
https://link.springer.com/article/10.1007%2Fs00268-021-06117-0
DOI
10.1007/s00268-021-06117-0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Lee, Jeong Rim(이정림) ORCID logo https://orcid.org/0000-0002-7425-0462
Lee, Hye Mi(이혜미) ORCID logo https://orcid.org/0000-0002-0432-1878
Joe, Young Eun(조영은) ORCID logo https://orcid.org/0000-0002-5848-5843
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184587
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