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Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial.
- Source :
- BMC Anesthesiology; 1/17/2024, Vol. 24 Issue 1, p1-8, 8p
- Publication Year :
- 2024
-
Abstract
- Background: During arthroscopic rotator cuff repair (ARCR), clear surgical field visibility (SFV) is the basis of successful surgery, but the choice of anesthesia maintenance drugs may have different effects on SFV. In this study, we aimed to compare the effects of propofol- and sevoflurane-based general anesthesia on SFV in patients undergoing ARCR. Methods: Patients (n = 130) undergoing elective ARCR in the lateral decubitus position were randomized into either the propofol group or sevoflurane group (65 per group). The duration of surgery and increased pressure irrigation (IPI), Boezaart score, rocuronium consumption and usage of remifentanil were recorded. The time of both spontaneous respiration recovery and extubation and the incidences of postoperative nausea and vomiting and agitation were also recorded. Results: The Boezaart score, duration of IPI and ratio of the duration of IPI to the duration of surgery (IPI/S ratio) were similar between the groups (P > 0.05). Rocuronium consumption, number of patients requiring remifentanil infusion and total remifentanil consumption were significantly lower in the sevoflurane group (P < 0.05). The spontaneous respiration recovery time was significantly longer in the propofol group (P < 0.05), but there were no differences in the extubation time between the groups(P > 0.05). Conclusions: Compared with propofol, sevoflurane provides equally clear SFV while improving the convenience of anesthesia maintenance in ARCR patients with interscalene plexus (ISB) combined with general anesthesia. Trial registration: This single-center, prospective, RCT was retrospective registered at Chinese Clinical Trial Registry with the registration number ChiCTR2300072110 (02/06/2023). [ABSTRACT FROM AUTHOR]
- Subjects :
- ROTATOR cuff injuries
PROPOFOL
IRRIGATION (Medicine)
ROCURONIUM bromide
SURGICAL blood loss
GENERAL anesthesia
NAUSEA
MUSCLE relaxants
ARTHROSCOPY
ANALGESICS
RETROSPECTIVE studies
AGITATION (Psychology)
TREATMENT effectiveness
RANDOMIZED controlled trials
COMPARATIVE studies
VOMITING
SEVOFLURANE
DESCRIPTIVE statistics
RESEARCH funding
STATISTICAL sampling
REMIFENTANIL
LONGITUDINAL method
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 14712253
- Volume :
- 24
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 174840014
- Full Text :
- https://doi.org/10.1186/s12871-024-02403-1