Effect of Anesthetic Methods on Gastrointestinal Bowel Movement after Colon Surgery / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 659-662, 2006.
Article
in Korean
| WPRIM
| ID: wpr-197056
ABSTRACT
BACKGROUND:
Gastrointestinal bowel movements are reduced by opioid-based anesthesia. Remifentanil is commonly used as total intravenous anesthesia. This study compared to the effect of various anesthetic methods on gastrointestinal bowel movement after colon surgery.METHODS:
Ninety patients were allocated randomly into three groups. Thirty patients received intraoperative inhalation anesthesia (desflurane + N2O, Group I), 30 patients received intraoperative total intravenous anesthesia (propofol + remifentanil, Group II), and 30 patients received intraoperative epidural anesthesia (epidural lidocaine + propofol, Group III). All patients received postoperative epidural analgesia with a mixture of ropivacaine and morphine. The time to the first passage of flatus, hospital stay and visual analog pain scale were recorded.RESULTS:
There was no significant difference in first passage of flatus among groups (Group I 92.7 +/- 19.6, Group II 86.9 +/- 19.4, Group III 81.9 +/- 12.8 hours, P = 0.063). There were no significant difference in the hospital stay and visual analog scale among the three groups.CONCLUSIONS:
Total intravenous anesthesia with remifentanil did not reduce the gastrointestinal bowel movements compared with those of inhalation or epidural anesthesia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain Measurement
/
Analgesia, Epidural
/
Propofol
/
Inhalation
/
Colon
/
Visual Analog Scale
/
Flatulence
/
Anesthesia
/
Anesthesia, Epidural
/
Anesthesia, Inhalation
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2006
Type:
Article
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