Comparison of hepatic and renal function between inhalation anesthesia with sevoflurane and remifentanil and total intravenous anesthesia with propofol and remifentanil for thyroidectomy.
10.4097/kjae.2013.64.2.112
- Author:
Ji Wook KIM
1
;
Joo Duck KIM
;
Soo Bong YU
;
Sie Jeong RYU
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, Busan, Korea. siejeong@ns.kosinmed.or.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Alanine aminotransferase;
Aspartate aminotransferase;
Blood Urea Nitrogen (BUN);
Creatinine;
Inhalation anesthesia;
Total intravenous anesthesia
- MeSH:
Alanine Transaminase;
Anesthesia;
Anesthesia, Inhalation;
Anesthesia, Intravenous;
Anesthetics, Inhalation;
Aspartate Aminotransferases;
Blood Urea Nitrogen;
Creatinine;
Humans;
Inhalation;
Methyl Ethers;
Piperidines;
Propofol;
Thyroidectomy
- From:Korean Journal of Anesthesiology
2013;64(2):112-116
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Inhalation anesthetics are an important factor for postoperative hepatic and renal dysfunction. In this regard, TIVA can reduce the risk of hepatic and renal dysfunction inherited to inhalation anesthetics. The present study was conducted to determine whether hepatic and renal functions differ after anesthesia with sevoflurane and propofol. METHODS: Two hundred patients, ASA physical status class I, II, scheduled for an elective thyroidectomy were randomly divided into two groups. Anesthesia was maintained with sevoflurane 1-2% and remifentanil in the sevoflurane group (Group S) and propofol 2-5 ug/ml and remifentanil 2-5 ng/ml at the effect site, using a target controlled infusion (TCI) pump in the TIVA group (Group T) to maintain BIS of 40-60. To evaluate the hepatic and renal function, aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN) and creatinine were tested at preoperation (baseline), postoperative 1 day and 3 days. RESULTS: AST was increased at postoperative 1 day and 3 days, compared with that of the preoperation in Group S, and postoperative 1 day in Group T, but the values were within its normal limit. ALT was not changed after anesthesia in both groups. BUN was increased at postoperative 1 day, compared with that of the preoperation in Group S, but the value was within its normal limit. Creatinine was not changed after anesthesia in both groups. CONCLUSIONS: The changes of hepatic and renal function after inhalation anesthesia with sevoflurane and TIVA with propofol and remifentanil for thyroidectomy were clinically insignificant, and there was no difference between the two methods.
