Effects of propofol, desflurane, and sevoflurane on respiratory functions following endoscopic endonasal transsphenoidal pituitary surgery: a prospective randomized study
- Author:
Abdulvahap OGUZ
1
;
Eren Fatma AKCIL
;
Yusuf TUNALI
;
Hayriye VEHID
;
Ozlem Korkmaz DILMEN
Author Information
- Publication Type:Randomized Controlled Trial
- Keywords: Airway resistance; Desflurane; Lung compliance; Propofol; Respiratory function tests; Sevoflurane
- MeSH: Airway Resistance; Anesthesia, General; Anesthetics, Inhalation; Compliance; Forced Expiratory Volume; Gases; Humans; Intubation; Lung Compliance; Propofol; Prospective Studies; Respiratory Function Tests; Vital Capacity
- From:Korean Journal of Anesthesiology 2019;72(6):583-591
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: General anesthesia with intravenous or inhalation anesthetics reduces respiratory functions. We investigated the effects of propofol, desflurane, and sevoflurane on postoperative respiratory function tests.METHODS: This single-center randomized controlled study was performed in a university hospital from October 2015 to February 2017. Ninety patients scheduled for endoscopic endonasal transsphenoidal pituitary surgery were randomly categorized into either of these three groups: propofol (n = 30, the Group TIVA), desflurane (n = 30, the Group D) or sevoflurane (n = 30, the Group S). We analyzed the patients before, after, and 24 h following surgery, to identify the following parameters: forced expiratory volume in 1 second (FEV₁) %, forced vital capacity (FVC) %, FEV₁/FVC, and arterial blood gases (ABG). Furthermore, we also recorded the intraoperative dynamic lung compliance and airway resistance values.RESULTS: We did not find any significant differences in FEV₁ values (primary outcome) among the groups (P = 0.336). There was a remarkable reduction in the FEV₁ and FVC values in all groups postoperatively relative to the baseline (P < 0.001). The FVC, FEV₁/FVC, ABG analysis, compliance, and airway resistance were similar among the groups. Intraoperative dynamic compliance values were lower at the 1st and 2nd hours than those immediately after intubation (P < 0.001).CONCLUSIONS: We demonstrated that propofol, desflurane, and sevoflurane reduced FEV₁ and FVC values postoperatively, without any significant differences among the drugs.
