Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy

Acta Anaesthesiologica Scandinavica
J RaederT Buanes

Abstract

The aims of the study were to evaluate costs and clinical characteristics of desflurane-based anaesthetic maintenance versus propofol for outpatient cholecystectomy. All 60 patients received ketamine 0.2 mg kg(-1), fentanyl 2 microg kg(-1) and propofol 2 mg kg(-1) for induction. Ketorolac 0.4 mg kg(-1) and ondansetron 0.05 mg kg(-1) +droperidol 20 microg kg(-1) was given as prophylaxis for postoperative pain and emesis, respectively. The patients were randomly assigned into Group P with propofol maintenance and opioid supplements, or Group D with desflurane in a low-flow circuit system. All the patients were successfully discharged within 8 h without any serious complications. Emergence from anaesthesia was more rapid after desflurane; they opened their eyes and stated date of birth at mean 6.4 and 8.4 min respectively, compared with 9.6 and 12 min in the propofol group (P<0.05). Nausea and pain were more frequent in Group D, 40% and 80% respectively; versus 17% and 50% in Group P (P<0.05). By telephone interview at 24 h and 7 d after the procedure, there was no major difference between the groups. With desflurane, drug costs per case were 10 $ lower than with propofol. We conclude that desflurane is cheaper and has a more rapi...Continue Reading

References

Jul 1, 1992·Anesthesiology·M F Watcha, P F White
Oct 1, 1994·Journal of Laparoendoscopic Surgery·G J FarhaR L Beamer
Sep 1, 1994·Journal of Clinical Anesthesia·T S Vitez
Sep 1, 1994·Journal of Clinical Anesthesia·M F Watcha, I Smith
Sep 1, 1994·Journal of Clinical Anesthesia·K E Becker, J Carrithers
Nov 1, 1993·Anesthesia and Analgesia·H Kehlet, J B Dahl
Jan 1, 1993·Anesthesia and Analgesia·T M MartinM S Bargas
Apr 1, 1993·British Journal of Anaesthesia·J B Dahl, H Kehlet
Jan 1, 1996·Surgical Endoscopy·M A FiorilloR J Silich
Apr 1, 1996·Journal of Laparoendoscopic Surgery·E TaylorC Kennedy
Oct 1, 1996·Anesthesia and Analgesia·J L ApfelbaumK T Korttila
Nov 1, 1996·British Journal of Anaesthesia·S Rosenberg-AdamsenJ Rosenberg
Jul 1, 1997·The British Journal of Surgery·O MjålandT Buanes

❮ Previous
Next ❯

Citations

Apr 10, 2008·Surgical Endoscopy·N Z AhmadS A Naqvi
Oct 16, 2003·Brain Research. Molecular Brain Research·Gregory F LopreatoS John Mihic
Mar 14, 2001·Anesthesiology Clinics of North America·I Smith
Feb 11, 2000·Acta Anaesthesiologica Scandinavica·E HagemannJ C Raeder
Aug 12, 2000·Acta Anaesthesiologica Scandinavica·A M Koivusalo, L Lindgren
Jan 30, 2003·European Journal of Anaesthesiology·B J PollardE W Moore
Oct 24, 2003·International Anesthesiology Clinics·Johan Raeder
Jan 5, 2002·Anesthesia and Analgesia·Dajun SongSuntheralingam Yogendran
Apr 3, 2012·Anesthesia and Analgesia·Paul F WhiteGabriella Bettelli
Mar 12, 2010·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Knut Arvid KirkebøenJohan Raeder
Sep 21, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Yeri AhnSaxon Connor
Mar 7, 2006·Journal of Clinical Anesthesia·Frederic J GergesSamar I Jabbour-Khoury
Jan 28, 2014·The Cochrane Database of Systematic Reviews·Jessica VaughanKurinchi Selvan Gurusamy
Aug 3, 2002·The British Journal of Surgery·G J Rubin, M Hotopf
Mar 16, 2000·The British Journal of Surgery·V L Wills, D R Hunt
Dec 23, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Sarath SistlaSujatha Sistla
Apr 2, 2005·Surgical Endoscopy·B EdwinT Buanes
Jul 26, 2002·Acta Anaesthesiologica Scandinavica·H StormJ C Raeder
Mar 22, 2003·Acta Anaesthesiologica Scandinavica·K MyreO Stokland

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
M E WernerR F Newhouse
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
M N PastuovicR G Burton
Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
S DavisM F James
The British Journal of Oral & Maxillofacial Surgery
K J Power
© 2022 Meta ULC. All rights reserved