A Comparison of the Recovery Characteristics between Propofol-remifentil and Sevoflurane-remifentail Anesthesia for Total Thyroidectomy.
10.7180/kmj.2013.28.2.137
- Author:
Dong Hee KANG
1
;
Jeong Gil LEE
;
Hyeong Ju JUNG
;
Ju Deok KIM
;
Soo Bong YU
;
Si Jeong RYU
;
Gyeong Han KIM
;
Doo Sik KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, Busan, Korea. kds0728@chol.com
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Propofol;
Remifentanil;
Sevoflurane;
Total thyroidectomy
- MeSH:
Anesthesia*;
Blood Pressure;
Heart Rate;
Humans;
Incidence;
Nausea;
Perioperative Period;
Postoperative Complications;
Propofol;
Thyroidectomy*
- From:Kosin Medical Journal
2013;28(2):137-143
- CountryRepublic of Korea
- Language:Korean
-
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.
