Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery
We studied 44 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or propofol-alfentanil-nitrous oxide. Operating conditions, recovery and postoperative nausea and vomiting (PONV) were assessed. For postoperative analgesia, all patients were...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 1999-10, Vol.83 (4), p.576-579 |
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| creator | Nelskylä, K Korttila, K Yli-Hankala, A |
| description | We studied 44 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or propofol-alfentanil-nitrous oxide. Operating conditions, recovery and postoperative nausea and vomiting (PONV) were assessed. For postoperative analgesia, all patients were given ketoprofen 100 mg rectally at the end of anaesthesia. Patients and gynaecologists were equally satisfied with both anaesthetic techniques. Patients given propofol woke up (3.5 vs 6.5 min), became orientated (5.0 vs 7.5 min) and were able to walk (57 vs 69 min) significantly (P < 0.05) earlier than those given sevoflurane, but there were no differences in times to achieve home readiness (166 vs 149 min) or in psychomotor recovery between the two groups. Intrauterine bleeding and PONV were more common with sevoflurane (incidence of PONV 64%) than with propofol anaesthesia (incidence of PONV 5%). We conclude that propofol-alfentanil is preferable to sevoflurane in ultra-short anaesthesia for minor gynaecological surgery. |
| doi_str_mv | 10.1093/bja/83.4.576 |
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Operating conditions, recovery and postoperative nausea and vomiting (PONV) were assessed. For postoperative analgesia, all patients were given ketoprofen 100 mg rectally at the end of anaesthesia. Patients and gynaecologists were equally satisfied with both anaesthetic techniques. Patients given propofol woke up (3.5 vs 6.5 min), became orientated (5.0 vs 7.5 min) and were able to walk (57 vs 69 min) significantly (P < 0.05) earlier than those given sevoflurane, but there were no differences in times to achieve home readiness (166 vs 149 min) or in psychomotor recovery between the two groups. Intrauterine bleeding and PONV were more common with sevoflurane (incidence of PONV 64%) than with propofol anaesthesia (incidence of PONV 5%). We conclude that propofol-alfentanil is preferable to sevoflurane in ultra-short anaesthesia for minor gynaecological surgery.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/83.4.576</identifier><identifier>PMID: 10673872</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Abdominal surgery. Urology. Gynecology. Obstetrics ; Adult ; Alfentanil ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia Recovery Period ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Combined - adverse effects ; Anesthetics, Inhalation ; Anesthetics, Intravenous ; Biological and medical sciences ; Dilatation and Curettage ; Female ; Humans ; Medical sciences ; Methyl Ethers ; Nitrous Oxide ; Postoperative Nausea and Vomiting - chemically induced ; Propofol ; Sevoflurane ; Single-Blind Method ; Uterine Hemorrhage - chemically induced</subject><ispartof>British journal of anaesthesia : BJA, 1999-10, Vol.83 (4), p.576-579</ispartof><rights>1999 British Journal of Anaesthesia</rights><rights>1999 INIST-CNRS</rights><rights>Copyright British Medical Association Oct 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-f384f7caa0c0bffa690a9059558027ea37b14b9239450bd6878f6a13fd66dbf03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1956044$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10673872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nelskylä, K</creatorcontrib><creatorcontrib>Korttila, K</creatorcontrib><creatorcontrib>Yli-Hankala, A</creatorcontrib><title>Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>We studied 44 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or propofol-alfentanil-nitrous oxide. Operating conditions, recovery and postoperative nausea and vomiting (PONV) were assessed. For postoperative analgesia, all patients were given ketoprofen 100 mg rectally at the end of anaesthesia. Patients and gynaecologists were equally satisfied with both anaesthetic techniques. Patients given propofol woke up (3.5 vs 6.5 min), became orientated (5.0 vs 7.5 min) and were able to walk (57 vs 69 min) significantly (P < 0.05) earlier than those given sevoflurane, but there were no differences in times to achieve home readiness (166 vs 149 min) or in psychomotor recovery between the two groups. Intrauterine bleeding and PONV were more common with sevoflurane (incidence of PONV 64%) than with propofol anaesthesia (incidence of PONV 5%). We conclude that propofol-alfentanil is preferable to sevoflurane in ultra-short anaesthesia for minor gynaecological surgery.</description><subject>Abdominal surgery. Urology. Gynecology. Obstetrics</subject><subject>Adult</subject><subject>Alfentanil</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia Recovery Period</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Combined - adverse effects</subject><subject>Anesthetics, Inhalation</subject><subject>Anesthetics, Intravenous</subject><subject>Biological and medical sciences</subject><subject>Dilatation and Curettage</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Methyl Ethers</subject><subject>Nitrous Oxide</subject><subject>Postoperative Nausea and Vomiting - chemically induced</subject><subject>Propofol</subject><subject>Sevoflurane</subject><subject>Single-Blind Method</subject><subject>Uterine Hemorrhage - chemically induced</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M2L1DAYB-AgLu64evMsRQQvdvZNkybNcRn8WFjYi57D2zQZM3SSmrSL41-_kQ4oKHhJIDx5P36EvKKwpaDYdX_A645t-baV4gnZUC5pLaSkT8kGAGQNijaX5HnOBwAqG9U-I5cUhGSdbDbk5y4eJ0w-x1BFV2X7EN24JAy2Dn5OcclV_OEHW2EYqinFKbo41jg6G2YMfvxLoc3zN5s9Vi6m6uhDOfen8mziGPfe4FjlJe1tOr0gFw7HbF-e7yvy9eOHL7vP9d39p9vdzV1tuIC5dqzjThpEMNA7h0IBKmhV23bQSItM9pT3qmGKt9APopOdE0iZG4QYegfsirxZ65bxvy9lPH2ISwqlpaZKypYx2hT0fkUmxZyTdXpK_ojppCnoXznrkrPumOa65Fz463PNpT_a4Q-8BlvA2zPAXHZ2JVHj82-nWgGcF_ZuZXGZ_tdRrNKWqB68TTobb4Oxg0_WzHqI_t8fHwFRr6fd</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>Nelskylä, K</creator><creator>Korttila, K</creator><creator>Yli-Hankala, A</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>19991001</creationdate><title>Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery</title><author>Nelskylä, K ; Korttila, K ; Yli-Hankala, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-f384f7caa0c0bffa690a9059558027ea37b14b9239450bd6878f6a13fd66dbf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Abdominal surgery. Urology. Gynecology. Obstetrics</topic><topic>Adult</topic><topic>Alfentanil</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia Recovery Period</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Combined - adverse effects</topic><topic>Anesthetics, Inhalation</topic><topic>Anesthetics, Intravenous</topic><topic>Biological and medical sciences</topic><topic>Dilatation and Curettage</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Methyl Ethers</topic><topic>Nitrous Oxide</topic><topic>Postoperative Nausea and Vomiting - chemically induced</topic><topic>Propofol</topic><topic>Sevoflurane</topic><topic>Single-Blind Method</topic><topic>Uterine Hemorrhage - chemically induced</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nelskylä, K</creatorcontrib><creatorcontrib>Korttila, K</creatorcontrib><creatorcontrib>Yli-Hankala, A</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nelskylä, K</au><au>Korttila, K</au><au>Yli-Hankala, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br J Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>83</volume><issue>4</issue><spage>576</spage><epage>579</epage><pages>576-579</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>We studied 44 patients undergoing minor gynaecological surgery, anaesthetized in random order with sevoflurane-nitrous oxide or propofol-alfentanil-nitrous oxide. Operating conditions, recovery and postoperative nausea and vomiting (PONV) were assessed. For postoperative analgesia, all patients were given ketoprofen 100 mg rectally at the end of anaesthesia. Patients and gynaecologists were equally satisfied with both anaesthetic techniques. Patients given propofol woke up (3.5 vs 6.5 min), became orientated (5.0 vs 7.5 min) and were able to walk (57 vs 69 min) significantly (P < 0.05) earlier than those given sevoflurane, but there were no differences in times to achieve home readiness (166 vs 149 min) or in psychomotor recovery between the two groups. Intrauterine bleeding and PONV were more common with sevoflurane (incidence of PONV 64%) than with propofol anaesthesia (incidence of PONV 5%). We conclude that propofol-alfentanil is preferable to sevoflurane in ultra-short anaesthesia for minor gynaecological surgery.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>10673872</pmid><doi>10.1093/bja/83.4.576</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdominal surgery. Urology. Gynecology. Obstetrics Adult Alfentanil Anesthesia Anesthesia depending on type of surgery Anesthesia Recovery Period Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Combined - adverse effects Anesthetics, Inhalation Anesthetics, Intravenous Biological and medical sciences Dilatation and Curettage Female Humans Medical sciences Methyl Ethers Nitrous Oxide Postoperative Nausea and Vomiting - chemically induced Propofol Sevoflurane Single-Blind Method Uterine Hemorrhage - chemically induced |
| title | Comparison of sevoflurane-nitrous oxide and propofol-alfentanil-nitrous oxide anaesthesia for minor gynaecological surgery |
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