Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane
BackgroundVarious maneuvers are commonly used to achieve the ideal operative field necessary for successful endoscopic sinus surgery (ESS). There are a few contradictory reports on this subject and the consensus is that propofol anesthesia results in a better or similar surgical field and less or si...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Anesthesiologists
2010-12-01
|
Series: | Korean Journal of Anesthesiology |
Subjects: | |
Online Access: | http://ekja.org/upload/pdf/kjae-59-377.pdf |
id |
doaj-328864ab477747118ac09c9fafc4b050 |
---|---|
record_format |
Article |
spelling |
doaj-328864ab477747118ac09c9fafc4b0502020-11-25T04:08:39ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-12-0159637738210.4097/kjae.2010.59.6.3776988Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desfluraneHyung-Seok Yoo0Jin Hee Han1Sung Wook Park2Keon Sik Kim3Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.BackgroundVarious maneuvers are commonly used to achieve the ideal operative field necessary for successful endoscopic sinus surgery (ESS). There are a few contradictory reports on this subject and the consensus is that propofol anesthesia results in a better or similar surgical field and less or similar amount of bleeding than volatile anesthesia. The aim of this study was to compare the surgical field in patients in whom intravenous anesthesia is used as opposed to balanced general anesthesia.MethodsSixty patients undergoing ESS were randomly assigned into three groups, each of which used a different type of anesthesia: propofol/remifentanil (PRO/REM) group, sevoflurane/remifentanil (SEV/REM) group, and desflurane/remifentanil (DES/REM) group. We aimed to maintain the intraoperative mean blood pressure (MBP) at 65 mmHg and the heartrate (HR) at about 75 beats per minute. The quality of visibility of the surgical field was graded, using a validated scoring system, 60 minutes after the start of the operation.ResultsAll groups had a similar MBP and mean HR at 60 minutes after the operation started. There was no significant differences among the three groups for surgical grade score (P = 0.83).ConclusionsIn this comparative study of three anesthetic combinations (PRO/REM, SEV/REM, and DES/REM) in patients undergoing ESS with controlled BP and HR, we did not observe any significant differences in the surgical grade scores.http://ekja.org/upload/pdf/kjae-59-377.pdfblood lossdesfluranepropofolremifentanilsevofluranesinusitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyung-Seok Yoo Jin Hee Han Sung Wook Park Keon Sik Kim |
spellingShingle |
Hyung-Seok Yoo Jin Hee Han Sung Wook Park Keon Sik Kim Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane Korean Journal of Anesthesiology blood loss desflurane propofol remifentanil sevoflurane sinusitis |
author_facet |
Hyung-Seok Yoo Jin Hee Han Sung Wook Park Keon Sik Kim |
author_sort |
Hyung-Seok Yoo |
title |
Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
title_short |
Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
title_full |
Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
title_fullStr |
Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
title_full_unstemmed |
Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
title_sort |
comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2010-12-01 |
description |
BackgroundVarious maneuvers are commonly used to achieve the ideal operative field necessary for successful endoscopic sinus surgery (ESS). There are a few contradictory reports on this subject and the consensus is that propofol anesthesia results in a better or similar surgical field and less or similar amount of bleeding than volatile anesthesia. The aim of this study was to compare the surgical field in patients in whom intravenous anesthesia is used as opposed to balanced general anesthesia.MethodsSixty patients undergoing ESS were randomly assigned into three groups, each of which used a different type of anesthesia: propofol/remifentanil (PRO/REM) group, sevoflurane/remifentanil (SEV/REM) group, and desflurane/remifentanil (DES/REM) group. We aimed to maintain the intraoperative mean blood pressure (MBP) at 65 mmHg and the heartrate (HR) at about 75 beats per minute. The quality of visibility of the surgical field was graded, using a validated scoring system, 60 minutes after the start of the operation.ResultsAll groups had a similar MBP and mean HR at 60 minutes after the operation started. There was no significant differences among the three groups for surgical grade score (P = 0.83).ConclusionsIn this comparative study of three anesthetic combinations (PRO/REM, SEV/REM, and DES/REM) in patients undergoing ESS with controlled BP and HR, we did not observe any significant differences in the surgical grade scores. |
topic |
blood loss desflurane propofol remifentanil sevoflurane sinusitis |
url |
http://ekja.org/upload/pdf/kjae-59-377.pdf |
work_keys_str_mv |
AT hyungseokyoo comparisonofsurgicalconditioninendoscopicsinussurgeryusingremifentanilcombinedwithpropofolsevofluraneordesflurane AT jinheehan comparisonofsurgicalconditioninendoscopicsinussurgeryusingremifentanilcombinedwithpropofolsevofluraneordesflurane AT sungwookpark comparisonofsurgicalconditioninendoscopicsinussurgeryusingremifentanilcombinedwithpropofolsevofluraneordesflurane AT keonsikkim comparisonofsurgicalconditioninendoscopicsinussurgeryusingremifentanilcombinedwithpropofolsevofluraneordesflurane |
_version_ |
1724424684658753536 |