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A Comparison of the Recovery Characteristics between Propofol-remifentil and Sevoflurane-remifentail Anesthesia for Total Thyroidectomy / 고신대학교의과대학학술지
Kosin Medical Journal ; : 137-143, 2013.
Artículo en Coreano | WPRIM | ID: wpr-194267
ABSTRACT

OBJECTIVES:

This study was investigated the recovery characteristics of propofol-remifentanil and sevoflurane-remifentanil anesthesia for total thyroidectomy.

METHODS:

Eighty patients in ASA physical status 1 and 2 scheduled for total thyroidectomy were allocated randomly to either group P (n = 40) or group S (n = 40). Anesthesia was maintained with remifentanil effect site concentration (Ce) 1-3 ng/mL and propofol Ce 2-4 microg/mL in the group P, and was maintained with remifentanil Ce 1-3 ng/mL and sevoflurane 1.5-2% in the group S. Blood pressure, heart rate, and bispectral (BIS) index were measured during perioperative period. The times from discontinuance of anesthetic agent to eye opening, to extubation, and to stating name were measured. Postoperative complications were evaluated.

RESULTS:

There were no significant differences between group P and S on the blood pressure, heart rate, and recovery time. BIS index of group P showed lower than that of group S during operation (P < 0.05). The incidences of side effects were similar in the two groups, though the incidence of nausea was higher in the group S (P < 0.05).

CONCLUSIONS:

Propofol-remifentanil anesthesia was more advantageous than sevoflurane-remifentanil anesthesia for thyroidectomy in view of side effect incidences.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Tiroidectomía / Presión Sanguínea / Propofol / Incidencia / Periodo Perioperatorio / Frecuencia Cardíaca / Anestesia / Náusea Tipo de estudio: Estudio de incidencia / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Kosin Medical Journal Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Tiroidectomía / Presión Sanguínea / Propofol / Incidencia / Periodo Perioperatorio / Frecuencia Cardíaca / Anestesia / Náusea Tipo de estudio: Estudio de incidencia / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Kosin Medical Journal Año: 2013 Tipo del documento: Artículo