Cited 4 times in
Comparison of the effects of inhalational and total intravenous anesthesia on quality of recovery in patients undergoing endoscopic transsphenoidal pituitary surgery: a randomized controlled trial
DC Field | Value | Language |
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dc.contributor.author | 김도형 | - |
dc.contributor.author | 김의현 | - |
dc.contributor.author | 민경태 | - |
dc.contributor.author | 최승호 | - |
dc.date.accessioned | 2022-08-23T00:20:38Z | - |
dc.date.available | 2022-08-23T00:20:38Z | - |
dc.date.issued | 2022-06 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/189384 | - |
dc.description.abstract | Background: Endoscopic transsphenoidal pituitary surgery has shown promising results. However, fast and high-quality recovery after this procedure remains a challenge for neuroanesthesiologists. This study aimed to compare the quality of recovery after transsphenoidal pituitary surgery between patients who received inhalational anesthesia with sevoflurane and patients who received propofol-based total intravenous anesthesia (TIVA). Methods: Eighty-two patients undergoing transsphenoidal pituitary surgery were randomized to receive either sevoflurane inhalation with manual infusion of remifentanil (sevoflurane group) or effect-site target-controlled infusion of propofol and remifentanil (TIVA group). The primary outcome was the 40-item Quality of Recovery (QoR-40) score on postoperative day 1. The QoR-40 questionnaire was completed by patients the day before surgery and on postoperative days 1 and 2. Emergence agitation and recovery characteristics were also assessed. Results: There were no significant differences between the groups in the global QoR-40 scores on both postoperative days 1 and 2 (difference -8.7, 95% CI -18.0 to 0.7, and P = 0.204; -3.6, 95% CI -13.0 to 5.8, and P > 0.999, respectively). The time to verbal response and time to extubation were significantly shorter in the sevoflurane group than in the TIVA group (P < 0.001 and P < 0.001, respectively). However, the incidence of emergence agitation was lower in the TIVA group than in the sevoflurane group (P < 0.001). Conclusions: Both inhalational anesthesia with sevoflurane and propofol-based TIVA were appropriate anesthetic techniques for patients undergoing endoscopic transsphenoidal pituitary surgery in terms of the quality of recovery up to 2 days postoperatively. Rapid emergence was observed in the sevoflurane group, while smooth emergence was observed in the TIVA group. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Ivyspring International Publisher | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Anesthesia, Intravenous / methods | - |
dc.subject.MESH | Anesthetics, Inhalation* | - |
dc.subject.MESH | Anesthetics, Intravenous | - |
dc.subject.MESH | Emergence Delirium* / drug therapy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Propofol* | - |
dc.subject.MESH | Remifentanil | - |
dc.subject.MESH | Sevoflurane | - |
dc.title | Comparison of the effects of inhalational and total intravenous anesthesia on quality of recovery in patients undergoing endoscopic transsphenoidal pituitary surgery: a randomized controlled trial | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Do-Hyeong Kim | - |
dc.contributor.googleauthor | Kyeong Tae Min | - |
dc.contributor.googleauthor | Eui Hyun Kim | - |
dc.contributor.googleauthor | Young Seo Choi | - |
dc.contributor.googleauthor | Seung Ho Choi | - |
dc.identifier.doi | 10.7150/ijms.72758 | - |
dc.contributor.localId | A00390 | - |
dc.contributor.localId | A00837 | - |
dc.contributor.localId | A01400 | - |
dc.contributor.localId | A04101 | - |
dc.relation.journalcode | J02917 | - |
dc.identifier.eissn | 1449-1907 | - |
dc.identifier.pmid | 35813289 | - |
dc.subject.keyword | inhalational anesthesia | - |
dc.subject.keyword | intravenous anesthesia | - |
dc.subject.keyword | pituitary surgery | - |
dc.subject.keyword | postoperative recovery | - |
dc.contributor.alternativeName | Kim, Do Hyeong | - |
dc.contributor.affiliatedAuthor | 김도형 | - |
dc.contributor.affiliatedAuthor | 김의현 | - |
dc.contributor.affiliatedAuthor | 민경태 | - |
dc.contributor.affiliatedAuthor | 최승호 | - |
dc.citation.volume | 19 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1056 | - |
dc.citation.endPage | 1064 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF MEDICAL SCIENCES, Vol.19(6) : 1056-1064, 2022-06 | - |
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