Comparative study of MASS and WFTSS in ERAS for patients undergoing laparoscopic cholecystectomy
10.3969/j.issn.1673-9701.2024.29.004
- VernacularTitle:MASS及WFTSS在腹腔镜胆囊切除患者ERAS中的比较研究
- Author:
Guojin LIANG
1
;
Yijun CHEN
;
Changshun HUANG
Author Information
1. 宁波大学附属第一医院麻醉科,浙江宁波 315010
- Keywords:
Total intravenous anesthesia;
Inhalation anesthesia;
Laparoscopic cholecystectomy;
MASS score
- From:
China Modern Doctor
2024;62(29):15-18,32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the modified Aldrete scoring system(MASS)and the White's fast-track scoring system(WFTSS)in the context of enhanced recovery after surgery(ERAS)and to compare the effects of sevoflurane anesthesia maintenance with propofol intravenous anesthesia maintenance in the ERAS of patients undergoing laparoscopic cholecystectomy;to evaluate the MASS and WFTSS in the context of ERAS.Methods A total of 160 patients undergoing laparoscopic cholecystectomy from January 2021 to October 2023 in the First Affiliated Hospital of Ningbo University were randomly divided into sevoflurane group and propofol group,80 cases in each group.The sevoflurane group maintained on sevoflurane-remifentanil and propofol group on propofol-remifentanil.Patients ERAS were evaluated by WFTSS and MASS.Time to the recovery from anesthesia,number of patients meeting the ERAS,factors associated with non-ERAS compliance,and perioperative complications were recorded.Results The proportion of patients entering ERAS in both groups was higher in the MASS than in the WFTSS(P=0.031).In terms of extubation time,the sevoflurane group was significantly slower than propofol group(P=0.030).In terms of meeting ERAS criteria,the propofol group had significantly more patients than sevoflurane group(P=0.026),and the number of patients entering the recovery room was significantly less than in sevoflurane group(P=0.025).Regarding the factors affecting entry into ERAS,the number of cases in sevoflurane group was higher than in propofol group,with postoperative nausea being the only factor with statistical significance while others were not significantly different.Conclusion WFTSS provides a more comprehensive and effective assessment for ERAS at the time of leaving the operating room and can be considered as one of the discharge criteria for ERAS.It also concludes that compared with sevoflurane combined with remifentanil for anesthesia maintenance,the propofol combined with remifentanil maintenance can achieve the extubation requirements in the operating room more quickly and with fewer side effects.
