The comparison of total intravenous anesthesia and sevoflurane anesthesia effects on postoperative recovery by quality of recovery (qpr-40) scores in laparoscopic cholecystectomy Laparoskopik kolesistektomilerde total intravenöz anestezi ve sevofluran anestezisinin postoperatif derlenme üzerine etkilerinin derlenme kalitesi skoru (qor-40) ile karşilaştirilmasi
Anestezi Dergisi, cilt.23, sa.3, ss.120-125, 2015 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 23 Sayı: 3
- Basım Tarihi: 2015
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.120-125
- Anahtar Kelimeler: Laparoscopic cholecystectomy, Propofol, Remifentanil, Sevoflurane
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The aim of this study is to compare the effects of total intravenous anesthesia and sevoflurane anesthesia that were used for anesthesia management in patients undergoing laparoscopic cholecystectomy on postoperative 24th hours quality of recovery scores. Method: Forty voluntary patients who were undergoing electively laparoscopic cholecystectomy under general anesthesia were included in study. Patients were equally randomized to two groups: propofol and sevoflurane group. After pre-oxygenization, 2 mg kg-1 propofol, 1 μg kg-1 remifentanyl by infusion and 0.6 mg kg-1 rocuronium were given intravenously to patients for induction. Anesthesia was maintained by 3 mg kg-1 h-1 propofol and 0.25 μg kg-1 h-1 remifentanyl infusion in group P. In group S anesthesia was maintained by 0.5 MAC sevoflurane and 0.25 μg kg-1 min-1 intravenous infusion of remifentanyl. After the surgery the patient was extubated and taken to the PACU. In PACU quality of recovery were evaluated by Modified Aldrete Score, presence of pain, nausea and vomiting in every 5 minutes. The Modified Aldrete Score was recorded as 8 points. After 24 hours, patients were evaluated by the QoR-40 survey in their clinic. Results: There was no statistically significant difference in haemodynamic values between two groups for blood pressure except 5 and 30 minutes' values and for heart rates except post-intubation 1 minutes' values. Time of Modified Aldrete Score > 8, nausea, vomiting, pain scores and total postoperative 24 hours QoR-40 scores were not different between the groups. However we found that in emotions parameters questions of feeling of loneliness and difficulty falling asleep scores were greater in group P than group S and in pain parameter; headache question scores were greater in group S than group P. Conclusion: According to our study propofol and sevoflurane anesthesia maintains the intraoperative haemodynamy in laparoscopic cholecystectomy. Also, no difference is evaluated in patients' clinic after 24 hours between two groups in terms of recovery in PACU, nausea, vomiting, pain parameters and quality of recovery scores. These short-acting agents provide rapid recovery.