Evaluation of emergence agitation after general anaesthesia in rhinoplasty patients: Inhalation anaesthesia versus total intravenous anaesthesia

2020 ◽  
Vol 41 (3) ◽  
pp. 102387 ◽  
Author(s):  
Gamze Talih ◽  
Ahmet Yüksek ◽  
Ender Şahin
Keyword(s):  
General Anaesthesia ◽  
Total Intravenous Anaesthesia ◽  
Emergence Agitation ◽  
Intravenous Anaesthesia ◽  
Inhalation Anaesthesia

scholarly journals Comparison of the cerebroprotective effect of inhalation anaesthesia and total intravenous anaesthesia in patients undergoing cardiac surgery with cardiopulmonary bypass: a systematic review and meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e014629 ◽  
Author(s):  
Feng Chen ◽  
Guangyou Duan ◽  
Zhuoxi Wu ◽  
Zhiyi Zuo ◽  
Hong Li
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Meta Analysis ◽  
Cerebral Protection ◽  
Neurological Dysfunction ◽  
Cochrane Library ◽  
Secondary Outcome ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Inhalation Anaesthesia

ObjectiveNeurological dysfunction remains a devastating postoperative complication in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB), and previous studies have shown that inhalation anaesthesia and total intravenous anaesthesia (TIVA) may produce different degrees of cerebral protection in these patients. Therefore, we conducted a systematic literature review and meta-analysis to compare the neuroprotective effects of inhalation anaesthesia and TIVA.DesignSearching in PubMed, EMBASE, Science Direct/Elsevier, China National Knowledge Infrastructure and Cochrane Library up to August 2016, we selected related randomised controlled trials for this meta-analysis.ResultsA total of 1485 studies were identified. After eliminating duplicate articles and screening titles and abstracts, 445 studies were potentially eligible. After applying exclusion criteria (full texts reported as abstracts, review article, no control case, lack of outcome data and so on), 13 studies were selected for review. Our results demonstrated that the primary outcome related to S100B level in the inhalation anaesthesia group was significantly lower than in the TIVA group after CPB and 24 hours postoperatively (weighted mean difference (WMD); 95% CI (CI): −0.41(–0.81 to –0.01), −0.32 (−0.59 to −0.05), respectively). Among secondary outcome variables, mini-mental state examination scores of the inhalation anaesthesia group were significantly higher than those of the TIVA group 24 hours after operation (WMD (95% CI): 1.87 (0.82 to 2.92)), but no significant difference was found in arteriovenous oxygen content difference, cerebral oxygen extraction ratio and jugular bulb venous oxygen saturation, which were assessed at cooling and rewarming during CPB.ConclusionThis study demonstrates that anaesthesia with volatile agents appears to provide better cerebral protection than TIVA for patients undergoing cardiac surgery with CPB, suggesting that inhalation anaesthesia may be more suitable for patients undergoing cardiac surgery.

scholarly journals Intravenous anaesthesia in goats: A review

2013 ◽  
Vol 84 (1) ◽  
Author(s):  
T. Brighton Dzikiti
Keyword(s):  
General Anaesthesia ◽  
Muscle Relaxation ◽  
Scientific Information ◽  
Working Environment ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Anaesthetic Agents ◽  
Inhalation Anaesthetic ◽  
Intravenous Anaesthetic ◽  
Balanced Anaesthesia

Intravenous anaesthesia is gradually becoming popular in veterinary practice. Traditionally, general anaesthesia is induced with intravenous drugs and then maintained with inhalation agents. Inhalation anaesthetic agents cause more significant dose-dependent cardiorespiratory depression than intravenous anaesthetic drugs, creating a need to use less of the inhalation anaesthetic agents for maintenance of general anaesthesia by supplementing with intravenous anaesthesia drugs. Better still, if anaesthesia is maintained completely with intravenous anaesthetic drugs, autonomic functions remain more stable intra-operatively. Patient recovery from anaesthesia is smoother and there is less pollution of the working environment than happens with inhalation anaesthetic agents. Recently, a number of drugs with profiles (pharmacokinetic and pharmacodynamic) suitable for prolonged intravenous anaesthesia have been studied, mostly in humans and, to a certain extent, in dogs and horses. There is currently very little scientific information on total intravenous anaesthesia in goats, although, in the past few years, some scholarly scientific articles on drugs suitable for partial intravenous anaesthesia in goats have been published. This review article explored the information available on drugs that have been assessed for partial intravenous anaesthesia in goats, with the aim of promoting incorporation of these drugs into total intravenous anaesthesia protocols in clinical practice. That way, balanced anaesthesia, a technique in which drugs are included in anaesthetic protocols for specific desired effects (hypnosis, analgesia, muscle relaxation, autonomic stabilisation) may be utilised in improving the welfare of goats undergoing general anaesthesia.

scholarly journals General Anaesthesia for Renal Transplantation in Latvia: A Critical Analysis Based on Clinical Experience

2013 ◽  
Vol 67 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Antoņina Sondore ◽  
Sanita Ūdre ◽  
Jānis Nemme ◽  
Laimdota Grašiņa ◽  
Ieva Kruževņaka ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
General Anaesthesia ◽  
Venous Pressure ◽  
Stage I ◽  
Stage Ii ◽  
Stage Iii ◽  
Haemodynamic Instability ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Arterial Blood

Anaesthesia methods for surgical procedures, as well as for organ transplantation, have experienced remarkable changes over the past 40 years. Cadaveric renal transplant function may be impaired by haemodynamic instability induced by anaesthesia drugs. This study aimed to analyse the safety and effectiveness of the different anaesthesia methods used for renal transplantation in Latvia since 1973, with focus on its haemodynamic effects. In this retrospective study anaesthesia chart review was conducted for 607 patients (pts), aged 17-75 yrs, ASA III/IV, undergoing renal transplantation using general anaesthesia in the following periods: 1973-1990 (stage I - 282 pts); 1991-2000 (stage II - 145 pts); 2001-2011 (stage III - 180 pts). Haemodynamic data (systolic, diastolic, mean arterial blood pressure and central venous pressure) were measured prior to premedication and induction of anaesthesia, immediately afterwards, during the surgery and up to its completion with the special attention regarding the time of graft reperfusion. The main perioperative problems of the anaesthesia methods used during stage I (barbiturates, viadril, neuroleptanalgesics, sodium oxybutyrate, halothane, nitrous oxide) was haemodynamic instability in 60% of cases and apnea due to central depression and long-time peripheral neuromuscular blockade. Two patients died due to underlying comorbid conditions, including hyperhidration and oedema pulmonum. Substantial haemodynamic changes during total intravenous anaesthesia with propofol and combined anaesthesia propofol-isoflurane (stage II) were not observed. At the time of graft reperfusion, the incidence of hypotension was slightly higher in patients anaesthetised with isoflurane than in those who received sevoflurane (stage III), but this difference was not significant (P > 0.05). Kidney functioned immediately in 75% of cases and delayed function was observed in 25% of cases in sevoflurane and isoflurane groups. The modern anaesthetic agents provide a great margin of safety during renal transplantation. Total intravenous anaesthesia with midasolam-fentanyl-propofol and general anaesthesia with propofol-isoflurane, propofol-sevoflurane can be safely used. During renal transplantation, anaesthesiologists must optimise volume status, perfusion pressure and promote survival of the renal graft.

scholarly journals Comparison of Balanced General and Total Intravenous Anaesthesia for Gasser Ganglion Percutaneous Balloon Microcompression for Trigeminal Neuralgia

2021 ◽  
pp. 1-3
Author(s):  
Patricia Heise ◽  
◽  
Marcos Baabor ◽  
Claudia Marin ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Trigeminal Neuralgia ◽  
General Anaesthesia ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anesthesia ◽  
Intravenous Anaesthesia ◽  
Percutaneous Balloon ◽  
Group A ◽  
Group B ◽  
To Receive

Objective: To compare the effectiveness between balanced general anaesthesia and total intravenous anaesthesia for the hemodynamic control of patients undergoing percutaneous balloon microcompression of the Gasser’s ganglion in trigeminal neuralgia. Patients and methods: A retrospective trial was conducted in thirty patients with the diagnosis of essential trigeminal neuralgia, aged 37 to 82 years old, ASA I and II. The participants were randomly allocated in two groups: Group A, to receive balanced general anaesthesia (BGA) with isoflurane/fentanyl, or Group B, to receive total intravenous anesthesia (TIVA) with propofol/remifentanil. The systolic, diastolic and mean arterial blood pressure, heart rate and oximetry were measured at basal state, entrance to Meckel’s cavum and during the balloon compression. Statistical analysis with the Student T test for continuous quantitative variables and x2 (Chi square) for qualitative variables was performed. Results: The systolic blood pressure was significantly higher in group A at the moment of greatest stimulation. The technique propofol/remifentanil (group B) obtained better hemodynamic control and its management was easier. The incidence of bradycardia was similar in both groups and kept inverse relation with use of previous atropine. Conclusions: Total intravenous anesthesia (TIVA) is an attractive alternative to balanced general anesthesia due to the better hemodynamic response and the quick recovery that this technique offers. Moreover, Atropine use before the procedure is a measure that could benefit patients

scholarly journals Incidence of post-thoracotomy pain: a comparison between total intravenous anaesthesia and inhalation anaesthesia

2012 ◽  
Vol 41 (5) ◽  
pp. 1078-1082 ◽  
Author(s):  
Jun-Gol Song ◽  
Jin Woo Shin ◽  
Eun Ho Lee ◽  
Dae Kee Choi ◽  
Ji Youn Bang ◽  
...  
Keyword(s):  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Inhalation Anaesthesia

scholarly journals Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1777
Author(s):  
Miguel Gozalo-Marcilla ◽  
Simone Katja Ringer
Keyword(s):  
Literature Review ◽  
General Anaesthesia ◽  
Respiratory System ◽  
Web Of Science ◽  
Case Series ◽  
Outcome Studies ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia ◽  
Expert Opinions ◽  
Structured Literature Review

Recovery remains the most dangerous phase of general anaesthesia in horses. The objective of this publication was to perform a structured literature review including levels of evidence (LoE) of each study with the keywords “recovery anaesthesia horse”, entered at once, in the search browsers PubMed and Web of Science. The two authors independently evaluated each candidate article. A final list with 444 articles was obtained on 5 April 2021, classified as: 41 “narrative reviews/expert opinions”, 16 “retrospective outcome studies”, 5 “surveys”, 59 “premedication/sedation and induction drugs”, 27 “maintenance with inhalant agents”, 55 “maintenance with total intravenous anaesthesia (TIVA)”, 3 “TIVA versus inhalants”, 56 “maintenance with partial intravenous anaesthesia (PIVA)”, 27 “other drugs used during maintenance”, 18 “drugs before/during recovery”, 18 “recovery systems”, 21 “respiratory system in recovery”, 41 “other factors”, 51 “case series/reports” and 6 “systems to score recoveries”. Of them, 167 were LoE 1, 36 LoE 2, 33 LoE 3, 110 LoE 4, 90 LoE 5 and 8 could not be classified based on the available abstract. This review can be used as an up-to-date compilation of the literature about recovery after general anaesthesia in adult horses that tried to minimise the bias inherent to narrative reviews.

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