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Analysis of Anesthesia-controlled Operating Room Time After Propofol-based Total Intravenous Anesthesia Compared with Desflurane Anesthesia in Gynecologic Laparoscopic Surgery: A Retrospective Study
並列摘要
Background: Anesthesia technique may contribute to the improvement of operation room (OR) efficiency by reducing anesthesiacontrolled time (ACT). We compared the difference between propofol-based total intravenous anesthesia (TIVA) and desflurane (DES) anesthesia for gynecologic laparoscopic surgery undergoing general anesthesia. Materials and Methods: We performed a retrospective study using data collected in our hospital to compare the ACT of gynecologic laparoscopic surgery using either TIVA via target-controlled infusion (TCI) with propofol/fentanyl or DES/fentanyl-based anesthesia between January 2010 and December 2011. The various time intervals (waiting for anesthesia, operation time, anesthesia time, emergence time, exit from OR after extubation, total OR time and postanesthesia care unit stay time) and the incidence of prolonged extubation (≥15 min) were compared between the two anesthetic techniques. Results: We included data from 926 patients, with 377 patients receiving TIVA and 549 patients receiving DES. The only significant difference is emergence time, TIVA was faster than the DES group (7.3±3.3 min vs. 8.3±3.1 min; ＂P＂＜0.001). The factors of prolonged extubation are DES anesthesia, body mass index, surgical time, and anesthesia time. Conclusion: In our hospital, propofol-based TIVA by TCI provide faster emergence compared with DES anesthesia in gynecologic laparoscopic surgery.
延伸閱讀
- Lai, H. C., Hung, N. K., Lin, B. F., Chen, J. L., Huang, Y. H., & Wu, Z. F. (2019). Lower Incidence of Prolonged Extubation in Propofol-Based Total Intravenous Anesthesia Compared with Desflurane Anesthesia in Laparoscopic Cholecystectomy: A Retrospective Study. Journal of Medical Sciences, 39(3), 121-126. https://doi.org/10.4103/jmedsci.jmedsci_157_18
- Lai, H. C., Huang, Y. H., Lu, C. H., Hung, N. K., Wong, C. S., & Wu, Z. F. (2019). Comparison of Anesthesia-Controlled Operating Room Time Between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Liver Resection: A Retrospective Study. Asian Journal of Anesthesiology, (), 1-8. https://doi.org/10.6859/aja.202005/PP.0003
- Lai, H. C., Huang, Y. H., Lu, C. H., Hung, N. K., Wong, C. S., & Wu, Z. F. (2020). Comparison of Anesthesia-Controlled Operating Room Time Between Propofol-Based Total Intravenous Anesthesia and Desflurane Anesthesia in Open Liver Resection: A Retrospective Study. Asian Journal of Anesthesiology, 58(2), 64-71. https://doi.org/10.6859/aja.202006_58(2).0004
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