Journal article
Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire
World journal of surgery, Vol.45(8), pp.2581-2590
08/2021
DOI: 10.1007/s00268-021-06117-0
PMID: 33881579
Abstract
Background There has been increasing attention on the subjective recovery of patients undergoing cancer surgery. Total intravenous anesthesia (TIVA) and inhaled anesthesia with volatile anesthetics (INHA) are safe and common anesthetic techniques. Currently, TIVA and INHA have only been compared for less invasive and less complex surgeries. This prospective randomized trial aimed to compare the quality of recovery between TIVA and INHA in patients undergoing pancreatoduodenectomy (PD) or distal pancreatectomy (DP) using the Quality of Recovery (QOR)-40 questionnaire. Methods We enrolled 132 patients who were randomly assigned to either the desflurane (DES) (INHA, balanced anesthesia with DES and remifentanil infusion) or TIVA (effect-site target-controlled infusion of propofol and remifentanil) groups and completed the QOR-40 questionnaire postoperatively. Results The mean global QOR-40 score on postoperative day 3 was significantly higher in the TIVA group than in the DES group. In the PD group, the total QOR-40 score was significantly higher in the TIVA group than in the DES group. Moreover, the TIVA group had significantly higher scores in the physical comfort and psychological support QOR-40 dimensions than the DES group. Conclusion TIVA provides better quality of recovery scores on POD 3 for patients undergoing curative pancreatectomy. Clinical trial registration number: NCT03447691
Details
- Title: Subtitle
- Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire
- Creators
- Young-Eun Joe - Yonsei UniversityChang Moo Kang - Yonsei UniversityHye-Mi Lee - Yonsei UniversityKi-Jun Kim - Yonsei UniversityHo Kyoung Hwang - Yonsei UniversityJeong-Rim Lee - Yonsei University
- Resource Type
- Journal article
- Publication Details
- World journal of surgery, Vol.45(8), pp.2581-2590
- DOI
- 10.1007/s00268-021-06117-0
- PMID
- 33881579
- NLM abbreviation
- World J Surg
- ISSN
- 0364-2313
- eISSN
- 1432-2323
- Publisher
- Springer Nature
- Number of pages
- 10
- Grant note
- 6-2017-0127 / Faculty Research Assistance Program of Yonsei University College of Medicine
- Language
- English
- Date published
- 08/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984806615402771
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