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Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients

Luc De Baerdemaeker (UGent) , STEFAN JACOBS (UGent) , Nadia Den Blauwen (UGent) , Piet Pattyn (UGent) , Luc Herregods (UGent) , Eric Mortier (UGent) and Michel Struys (UGent)
(2006) OBESITY SURGERY. 16(6). p.728-733
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Abstract
Background: This randomized prospective study with blinded postanesthesia care unit (PACU) observers compared the recovery profiles in morbidly obese patients who received sevoflurane or desflurane for maintenance of anesthesia in combination with a remifentanil target controlled infusion (TCI). Methods: 50 morbidly obese patients scheduled for laparoscopic gastric banding were included to receive BIS-guided sevoflurane or desflurane anesthesia with BIS-triggered inhalation boli in combination with remifentanil TCI. In the PACU, the following recovery scores were investigated: Modified Aldrete score, a modified Observers' Assessment of AlertnesstSedation Scale (OAA/S), pain numerical rating scale (NRS), oxygen saturation (SpO(2)) and postoperative nausea and vomiting (PONV). Results: OAA/S and NRS pain scores showed a similar evolution in both groups from the moment of PACU admission up to 120 minutes after admission. In both groups, patients showed no serious hypoxemia during PACU stay. Incidence of PONV was shorter lasting in the sevoflurane group compared to the desflurane group. Conclusions: No clinically relevant difference was found in recovery in the PACU between morbidly obese patients anesthetized with desflurane or sevoflurane. Both agents resulted in satisfactory recovery in morbidly obese patients.
Keywords
sevoflurane, recovery, desflurane, morbid obesity, remifentanil TCI, anesthesia, GENERAL-ANESTHESIA, RECOVERY, PROPOFOL, INDUCTION, SURGERY, SCALE

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Chicago
De Baerdemaeker, Luc, STEFAN JACOBS, Nadia Den Blauwen, Piet Pattyn, Luc Herregods, Eric Mortier, and Michel Struys. 2006. “Postoperative Results After Desflurane or Sevoflurane Combined with Remifentanil in Morbidly Obese Patients.” Obesity Surgery 16 (6): 728–733.
APA
De Baerdemaeker, L., JACOBS, S., Den Blauwen, N., Pattyn, P., Herregods, L., Mortier, E., & Struys, M. (2006). Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients. OBESITY SURGERY, 16(6), 728–733.
Vancouver
1.
De Baerdemaeker L, JACOBS S, Den Blauwen N, Pattyn P, Herregods L, Mortier E, et al. Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients. OBESITY SURGERY. 2006;16(6):728–33.
MLA
De Baerdemaeker, Luc, STEFAN JACOBS, Nadia Den Blauwen, et al. “Postoperative Results After Desflurane or Sevoflurane Combined with Remifentanil in Morbidly Obese Patients.” OBESITY SURGERY 16.6 (2006): 728–733. Print.
@article{355172,
  abstract     = {Background: This randomized prospective study with blinded postanesthesia care unit (PACU) observers compared the recovery profiles in morbidly obese patients who received sevoflurane or desflurane for maintenance of anesthesia in combination with a remifentanil target controlled infusion (TCI).
Methods: 50 morbidly obese patients scheduled for laparoscopic gastric banding were included to receive BIS-guided sevoflurane or desflurane anesthesia with BIS-triggered inhalation boli in combination with remifentanil TCI. In the PACU, the following recovery scores were investigated: Modified Aldrete score, a modified Observers' Assessment of AlertnesstSedation Scale (OAA/S), pain numerical rating scale (NRS), oxygen saturation (SpO(2)) and postoperative nausea and vomiting (PONV).
Results: OAA/S and NRS pain scores showed a similar evolution in both groups from the moment of PACU admission up to 120 minutes after admission. In both groups, patients showed no serious hypoxemia during PACU stay. Incidence of PONV was shorter lasting in the sevoflurane group compared to the desflurane group.
Conclusions: No clinically relevant difference was found in recovery in the PACU between morbidly obese patients anesthetized with desflurane or sevoflurane. Both agents resulted in satisfactory recovery in morbidly obese patients.},
  author       = {De Baerdemaeker, Luc and JACOBS, STEFAN and Den Blauwen, Nadia and Pattyn, Piet and Herregods, Luc and Mortier, Eric and Struys, Michel},
  issn         = {0960-8923},
  journal      = {OBESITY SURGERY},
  keywords     = {sevoflurane,recovery,desflurane,morbid obesity,remifentanil TCI,anesthesia,GENERAL-ANESTHESIA,RECOVERY,PROPOFOL,INDUCTION,SURGERY,SCALE},
  language     = {eng},
  number       = {6},
  pages        = {728--733},
  title        = {Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients},
  volume       = {16},
  year         = {2006},
}

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