Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea
Introduction: To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia. Patients and Methods: OSA and Non-OSA patients were identified at a terti...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2023-06, Vol.132 (6), p.667-673 |
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| container_title | Annals of otology, rhinology & laryngology |
| container_volume | 132 |
| creator | Sagalow, Emily S. Stewart, Matthew Estephan, Leonard Rodin, Julianna Ananth, Ashwin Curcio, Brian Krein, Howard Heffelfinger, Ryan Thaler, Adam Hunt, Patrick Boon, Maurits Huntley, Colin |
| description | Introduction:
To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia.
Patients and Methods:
OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system.
Results:
A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane (P |
| doi_str_mv | 10.1177/00034894221112501 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2689672625</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_00034894221112501</sage_id><sourcerecordid>2689672625</sourcerecordid><originalsourceid>FETCH-LOGICAL-c292t-d234ab4dd903cd98bcfc52480ab0336215e7f709be57a574601bb4f6c61691da3</originalsourceid><addsrcrecordid>eNp9kU1P3DAQhi1UVLbQH8AF-dhLqD_j5LhCQJGQQOWjvUWOM4GgrB08zkr8Bv50vSz0Uqknj8fP-45nhpBDzo45N-Y7Y0yqqlZCcM6FZnyHLHitZKGN-P2JLDbvxQbYI18Qn_JVaSY-kz2pKym1qRbkdYkIiIN_oNcBU5gg2jSsgf4EF9YQX-ivIT3S-zDm9Aj03CK9h4gz0tuQ7EgvfIp2DT7kzNIDpkfAwdLB0-usAJ9w62B99xaEOdGrFlOc3VudmxFgosvJgz0gu70dEb6-n_vk7uz09uRHcXl1fnGyvCycqEUqOiGVbVXX1Uy6rq5a1zstVMVsy6QsBddgesPqFrSx2qiS8bZVfelKXta8s3KffNv6TjE8z_nLzWpAB-NoPeQ2GlFWdWlEKXRG-RZ1MSBG6JspDisbXxrOms0Omn92kDVH7_Zzu4Lur-Jj6Bk43gJoH6B5CnP0ud3_OP4BtS6Qzw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2689672625</pqid></control><display><type>article</type><title>Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea</title><source>Access via SAGE</source><source>MEDLINE</source><creator>Sagalow, Emily S. ; Stewart, Matthew ; Estephan, Leonard ; Rodin, Julianna ; Ananth, Ashwin ; Curcio, Brian ; Krein, Howard ; Heffelfinger, Ryan ; Thaler, Adam ; Hunt, Patrick ; Boon, Maurits ; Huntley, Colin</creator><creatorcontrib>Sagalow, Emily S. ; Stewart, Matthew ; Estephan, Leonard ; Rodin, Julianna ; Ananth, Ashwin ; Curcio, Brian ; Krein, Howard ; Heffelfinger, Ryan ; Thaler, Adam ; Hunt, Patrick ; Boon, Maurits ; Huntley, Colin</creatorcontrib><description>Introduction:
To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia.
Patients and Methods:
OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system.
Results:
A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane (P < .0001). Non-OSA patients recovered faster than OSA patients when undergoing inhalational anesthesia by 46.76 minutes and TIVA by 18.58 minutes (P < .0001 and P = .0907, respectively). Non-OSA patients with a MSBS < 3 and ≥3 had a shorter recovery time compared to OSA patients when both underwent sevoflurane anesthesia (57.27 minutes, P < .0001 and 56.23 minutes, P = .040, respectively). Non-OSA patients with a MSBS of <3 had a decrease in recovery time of 26.68 minutes when compared to OSA patients who underwent TIVA (P = .0004).
Conclusions:
When utilizing TIVA over inhalational anesthesia, patients with OSA have significantly increased benefit in terms of reduced Phase I recovery times as compared to Non-OSA patients.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/00034894221112501</identifier><identifier>PMID: 35833578</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anesthesia, General ; Anesthesia, Intravenous ; Anesthetics, Inhalation ; Anesthetics, Intravenous ; Humans ; Propofol ; Sevoflurane ; Sleep Apnea, Obstructive - diagnosis</subject><ispartof>Annals of otology, rhinology & laryngology, 2023-06, Vol.132 (6), p.667-673</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-d234ab4dd903cd98bcfc52480ab0336215e7f709be57a574601bb4f6c61691da3</cites><orcidid>0000-0003-4467-3277 ; 0000-0002-8115-7098 ; 0000-0003-4637-3630 ; 0000-0002-7020-3634</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00034894221112501$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00034894221112501$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35833578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sagalow, Emily S.</creatorcontrib><creatorcontrib>Stewart, Matthew</creatorcontrib><creatorcontrib>Estephan, Leonard</creatorcontrib><creatorcontrib>Rodin, Julianna</creatorcontrib><creatorcontrib>Ananth, Ashwin</creatorcontrib><creatorcontrib>Curcio, Brian</creatorcontrib><creatorcontrib>Krein, Howard</creatorcontrib><creatorcontrib>Heffelfinger, Ryan</creatorcontrib><creatorcontrib>Thaler, Adam</creatorcontrib><creatorcontrib>Hunt, Patrick</creatorcontrib><creatorcontrib>Boon, Maurits</creatorcontrib><creatorcontrib>Huntley, Colin</creatorcontrib><title>Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Introduction:
To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia.
Patients and Methods:
OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system.
Results:
A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane (P < .0001). Non-OSA patients recovered faster than OSA patients when undergoing inhalational anesthesia by 46.76 minutes and TIVA by 18.58 minutes (P < .0001 and P = .0907, respectively). Non-OSA patients with a MSBS < 3 and ≥3 had a shorter recovery time compared to OSA patients when both underwent sevoflurane anesthesia (57.27 minutes, P < .0001 and 56.23 minutes, P = .040, respectively). Non-OSA patients with a MSBS of <3 had a decrease in recovery time of 26.68 minutes when compared to OSA patients who underwent TIVA (P = .0004).
Conclusions:
When utilizing TIVA over inhalational anesthesia, patients with OSA have significantly increased benefit in terms of reduced Phase I recovery times as compared to Non-OSA patients.</description><subject>Anesthesia, General</subject><subject>Anesthesia, Intravenous</subject><subject>Anesthetics, Inhalation</subject><subject>Anesthetics, Intravenous</subject><subject>Humans</subject><subject>Propofol</subject><subject>Sevoflurane</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1P3DAQhi1UVLbQH8AF-dhLqD_j5LhCQJGQQOWjvUWOM4GgrB08zkr8Bv50vSz0Uqknj8fP-45nhpBDzo45N-Y7Y0yqqlZCcM6FZnyHLHitZKGN-P2JLDbvxQbYI18Qn_JVaSY-kz2pKym1qRbkdYkIiIN_oNcBU5gg2jSsgf4EF9YQX-ivIT3S-zDm9Aj03CK9h4gz0tuQ7EgvfIp2DT7kzNIDpkfAwdLB0-usAJ9w62B99xaEOdGrFlOc3VudmxFgosvJgz0gu70dEb6-n_vk7uz09uRHcXl1fnGyvCycqEUqOiGVbVXX1Uy6rq5a1zstVMVsy6QsBddgesPqFrSx2qiS8bZVfelKXta8s3KffNv6TjE8z_nLzWpAB-NoPeQ2GlFWdWlEKXRG-RZ1MSBG6JspDisbXxrOms0Omn92kDVH7_Zzu4Lur-Jj6Bk43gJoH6B5CnP0ud3_OP4BtS6Qzw</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Sagalow, Emily S.</creator><creator>Stewart, Matthew</creator><creator>Estephan, Leonard</creator><creator>Rodin, Julianna</creator><creator>Ananth, Ashwin</creator><creator>Curcio, Brian</creator><creator>Krein, Howard</creator><creator>Heffelfinger, Ryan</creator><creator>Thaler, Adam</creator><creator>Hunt, Patrick</creator><creator>Boon, Maurits</creator><creator>Huntley, Colin</creator><general>SAGE Publications</general><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>7X8</scope><orcidid>https://orcid.org/0000-0003-4467-3277</orcidid><orcidid>https://orcid.org/0000-0002-8115-7098</orcidid><orcidid>https://orcid.org/0000-0003-4637-3630</orcidid><orcidid>https://orcid.org/0000-0002-7020-3634</orcidid></search><sort><creationdate>202306</creationdate><title>Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea</title><author>Sagalow, Emily S. ; Stewart, Matthew ; Estephan, Leonard ; Rodin, Julianna ; Ananth, Ashwin ; Curcio, Brian ; Krein, Howard ; Heffelfinger, Ryan ; Thaler, Adam ; Hunt, Patrick ; Boon, Maurits ; Huntley, Colin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-d234ab4dd903cd98bcfc52480ab0336215e7f709be57a574601bb4f6c61691da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anesthesia, General</topic><topic>Anesthesia, Intravenous</topic><topic>Anesthetics, Inhalation</topic><topic>Anesthetics, Intravenous</topic><topic>Humans</topic><topic>Propofol</topic><topic>Sevoflurane</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sagalow, Emily S.</creatorcontrib><creatorcontrib>Stewart, Matthew</creatorcontrib><creatorcontrib>Estephan, Leonard</creatorcontrib><creatorcontrib>Rodin, Julianna</creatorcontrib><creatorcontrib>Ananth, Ashwin</creatorcontrib><creatorcontrib>Curcio, Brian</creatorcontrib><creatorcontrib>Krein, Howard</creatorcontrib><creatorcontrib>Heffelfinger, Ryan</creatorcontrib><creatorcontrib>Thaler, Adam</creatorcontrib><creatorcontrib>Hunt, Patrick</creatorcontrib><creatorcontrib>Boon, Maurits</creatorcontrib><creatorcontrib>Huntley, Colin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sagalow, Emily S.</au><au>Stewart, Matthew</au><au>Estephan, Leonard</au><au>Rodin, Julianna</au><au>Ananth, Ashwin</au><au>Curcio, Brian</au><au>Krein, Howard</au><au>Heffelfinger, Ryan</au><au>Thaler, Adam</au><au>Hunt, Patrick</au><au>Boon, Maurits</au><au>Huntley, Colin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2023-06</date><risdate>2023</risdate><volume>132</volume><issue>6</issue><spage>667</spage><epage>673</epage><pages>667-673</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><abstract>Introduction:
To determine if there is a recovery time difference between patients with and without obstructive sleep apnea (OSA) when using total intravenous anesthesia (TIVA) compared to volatile gas inhalational anesthesia.
Patients and Methods:
OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system.
Results:
A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane (P < .0001). Non-OSA patients recovered faster than OSA patients when undergoing inhalational anesthesia by 46.76 minutes and TIVA by 18.58 minutes (P < .0001 and P = .0907, respectively). Non-OSA patients with a MSBS < 3 and ≥3 had a shorter recovery time compared to OSA patients when both underwent sevoflurane anesthesia (57.27 minutes, P < .0001 and 56.23 minutes, P = .040, respectively). Non-OSA patients with a MSBS of <3 had a decrease in recovery time of 26.68 minutes when compared to OSA patients who underwent TIVA (P = .0004).
Conclusions:
When utilizing TIVA over inhalational anesthesia, patients with OSA have significantly increased benefit in terms of reduced Phase I recovery times as compared to Non-OSA patients.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35833578</pmid><doi>10.1177/00034894221112501</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4467-3277</orcidid><orcidid>https://orcid.org/0000-0002-8115-7098</orcidid><orcidid>https://orcid.org/0000-0003-4637-3630</orcidid><orcidid>https://orcid.org/0000-0002-7020-3634</orcidid></addata></record> |
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| ispartof | Annals of otology, rhinology & laryngology, 2023-06, Vol.132 (6), p.667-673 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Anesthesia, General Anesthesia, Intravenous Anesthetics, Inhalation Anesthetics, Intravenous Humans Propofol Sevoflurane Sleep Apnea, Obstructive - diagnosis |
| title | Assessing Postoperative Recovery With Volatile Gas Versus Total Intravenous Anesthesia in Patients With and Without Obstructive Sleep Apnea |
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