Effects of propofol, desflurane, and sevoflurane on respiratory functions following endoscopic endonasal transsphenoidal pituitary surgery: a prospective randomized study / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 583-591, 2019.
Article
in English
| WPRIM
| ID: wpr-917453
ABSTRACT
BACKGROUND@#General anesthesia with intravenous or inhalation anesthetics reduces respiratory functions. We investigated the effects of propofol, desflurane, and sevoflurane on postoperative respiratory function tests.@*METHODS@#This single-center randomized controlled study was performed in a university hospital from October 2015 to February 2017. Ninety patients scheduled for endoscopic endonasal transsphenoidal pituitary surgery were randomly categorized into either of these three groups propofol (n = 30, the Group TIVA), desflurane (n = 30, the Group D) or sevoflurane (n = 30, the Group S). We analyzed the patients before, after, and 24 h following surgery, to identify the following parameters forced expiratory volume in 1 second (FEVâ‚) %, forced vital capacity (FVC) %, FEVâ‚/FVC, and arterial blood gases (ABG). Furthermore, we also recorded the intraoperative dynamic lung compliance and airway resistance values.@*RESULTS@#We did not find any significant differences in FEVâ‚ values (primary outcome) among the groups (P = 0.336). There was a remarkable reduction in the FEVâ‚ and FVC values in all groups postoperatively relative to the baseline (P < 0.001). The FVC, FEVâ‚/FVC, ABG analysis, compliance, and airway resistance were similar among the groups. Intraoperative dynamic compliance values were lower at the 1st and 2nd hours than those immediately after intubation (P < 0.001).@*CONCLUSIONS@#We demonstrated that propofol, desflurane, and sevoflurane reduced FEVâ‚ and FVC values postoperatively, without any significant differences among the drugs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Controlled clinical trial
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2019
Type:
Article
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