Effect of Anesthetic Methods on Gastrointestinal Bowel Movement after Colon Surgery.
10.4097/kjae.2006.51.6.659
- Author:
Kun Moo LEE
1
;
Jong Woo BAE
;
Young Hwan KIM
;
Hoon Se LIM
;
Jeong Han LEE
;
Soon Ho CHEONG
;
Young Kyun CHOE
;
Young Jae KIM
;
Chee Mahn SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Inje University Pusan Paik Hospital, College of Medicine, Inje University, Busan, Korea. aneslkm@inje.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
bowel movement;
colon surgery;
desflurane;
epidural anesthesia;
propofol;
remifentanil
- MeSH:
Analgesia, Epidural;
Anesthesia;
Anesthesia, Epidural;
Anesthesia, Inhalation;
Anesthesia, Intravenous;
Colon*;
Flatulence;
Humans;
Inhalation;
Length of Stay;
Lidocaine;
Morphine;
Pain Measurement;
Propofol;
Visual Analog Scale
- From:Korean Journal of Anesthesiology
2006;51(6):659-662
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Gastrointestinal bowel movements are reduced by opioid-based anesthesia. Remifentanil is commonly used as total intravenous anesthesia. This study compared to the effect of various anesthetic methods on gastrointestinal bowel movement after colon surgery. METHODS: Ninety patients were allocated randomly into three groups. Thirty patients received intraoperative inhalation anesthesia (desflurane + N2O, Group I), 30 patients received intraoperative total intravenous anesthesia (propofol + remifentanil, Group II), and 30 patients received intraoperative epidural anesthesia (epidural lidocaine + propofol, Group III). All patients received postoperative epidural analgesia with a mixture of ropivacaine and morphine. The time to the first passage of flatus, hospital stay and visual analog pain scale were recorded. RESULTS: There was no significant difference in first passage of flatus among groups (Group I: 92.7 +/- 19.6, Group II: 86.9 +/- 19.4, Group III: 81.9 +/- 12.8 hours, P = 0.063). There were no significant difference in the hospital stay and visual analog scale among the three groups. CONCLUSIONS: Total intravenous anesthesia with remifentanil did not reduce the gastrointestinal bowel movements compared with those of inhalation or epidural anesthesia.
