Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia
Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracot...
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| Veröffentlicht in: | Pakistan journal of medical sciences 2024-11, Vol.40 (10), p.2219-2222 |
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| creator | Lee, Joo-Yong Jeong, Soon-Taek Hwang, Ji-Hye Park, Sang Hi |
| description | Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracotomy at our hospital.
We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy between January 1, 2016, and January 1, 2020, at Chungbuk National University Hospital were included in this study. The anesthesia and postoperative pain records of those who received total intravenous anesthesia (n=30) and inhalation anesthesia (n=30) were retrospectively reviewed. The pain score on the numeric rating scale (NRS) was evaluated at 2, 8, 24, and 30 hours postoperatively.
The average NRS score of patients who received total intravenous anesthesia was lesser than that of those who received inhalational anesthesia. Moreover, the difference in the NRS scores at eight hours postoperatively was statistically significant (P |
| doi_str_mv | 10.12669/pjms.40.10.9907 |
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We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy between January 1, 2016, and January 1, 2020, at Chungbuk National University Hospital were included in this study. The anesthesia and postoperative pain records of those who received total intravenous anesthesia (n=30) and inhalation anesthesia (n=30) were retrospectively reviewed. The pain score on the numeric rating scale (NRS) was evaluated at 2, 8, 24, and 30 hours postoperatively.
The average NRS score of patients who received total intravenous anesthesia was lesser than that of those who received inhalational anesthesia. Moreover, the difference in the NRS scores at eight hours postoperatively was statistically significant (P <0.05). Patients who received inhalational anesthesia had a higher pain score and experienced more severe pain than those who received intravenous anesthesia.
Total intravenous anesthesia with propofol-remifentanil provided better analgesia for acute postoperative pain in patients who underwent thoracotomy than inhalational anesthesia, suggesting it may be considered the combination of choice for thoracic surgery.</description><identifier>ISSN: 1682-024X</identifier><identifier>EISSN: 1681-715X</identifier><identifier>DOI: 10.12669/pjms.40.10.9907</identifier><identifier>PMID: 39554644</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Analgesics ; Analysis ; Anesthesia ; Care and treatment ; Dexmedetomidine ; General anesthesia ; Lung diseases ; Narcotics ; Original ; Ostomy ; Pain ; Remifentanil ; Thoracic surgery</subject><ispartof>Pakistan journal of medical sciences, 2024-11, Vol.40 (10), p.2219-2222</ispartof><rights>Copyright: © Pakistan Journal of Medical Sciences.</rights><rights>COPYRIGHT 2024 Knowledge Bylanes</rights><rights>(c)2024 Pakistan Journal of Medical Sciences</rights><rights>Copyright: © Pakistan Journal of Medical Sciences 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568697/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568697/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39554644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Joo-Yong</creatorcontrib><creatorcontrib>Jeong, Soon-Taek</creatorcontrib><creatorcontrib>Hwang, Ji-Hye</creatorcontrib><creatorcontrib>Park, Sang Hi</creatorcontrib><title>Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia</title><title>Pakistan journal of medical sciences</title><addtitle>Pak J Med Sci</addtitle><description>Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracotomy at our hospital.
We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy between January 1, 2016, and January 1, 2020, at Chungbuk National University Hospital were included in this study. The anesthesia and postoperative pain records of those who received total intravenous anesthesia (n=30) and inhalation anesthesia (n=30) were retrospectively reviewed. The pain score on the numeric rating scale (NRS) was evaluated at 2, 8, 24, and 30 hours postoperatively.
The average NRS score of patients who received total intravenous anesthesia was lesser than that of those who received inhalational anesthesia. Moreover, the difference in the NRS scores at eight hours postoperatively was statistically significant (P <0.05). Patients who received inhalational anesthesia had a higher pain score and experienced more severe pain than those who received intravenous anesthesia.
Total intravenous anesthesia with propofol-remifentanil provided better analgesia for acute postoperative pain in patients who underwent thoracotomy than inhalational anesthesia, suggesting it may be considered the combination of choice for thoracic surgery.</description><subject>Analgesics</subject><subject>Analysis</subject><subject>Anesthesia</subject><subject>Care and treatment</subject><subject>Dexmedetomidine</subject><subject>General anesthesia</subject><subject>Lung diseases</subject><subject>Narcotics</subject><subject>Original</subject><subject>Ostomy</subject><subject>Pain</subject><subject>Remifentanil</subject><subject>Thoracic surgery</subject><issn>1682-024X</issn><issn>1681-715X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptUk1v1DAQjRCIlsKdE4qEhLjsYsdOHHOpVhVfUiU4gNSb5TiTjVeJHWxnUX8Bf5vJtrRdhCzZ45n3nsejl2UvKVnToqrku2k3xjXHG1lLScSj7JRWNV0JWl49PsTFihT86iR7FuOOEF7xsnianTBZlhjz0-z3Nx-TnyDoZPeQa6eHLUSrc-vyCXPgUsxn10LYeuu2eep90MYnP16_zze58eOkg43e5Q2kXwAuTz7pAekp6D04P0cUhZj6g6p2LZZ6PaA0cu4rz7MnnR4ivLg9z7IfHz98v_i8uvz66cvF5nJlOKnSCre2M6wxQFsJhLWC1aIpRVdQxllRSBBtS8tGS9nWTSdNp7HYCd6IyjCo2Fl2fqM7zc0IrYGlz0FNwY46XCuvrTquONurrd8rSsuqrqRAhbe3CsH_nLF_NdpoYBjwM_hbxWghq1qIukbo63-gOz8HHPEBxWrKGKX3qK0eQFnXeXzYLKJqU1POmShEiaj1f1C4Whit8Q46i_kjwpsHhB70kProh3kZfDwGkhugCT7GAN3dNChRB5upxWaKkyWx2Awprx5O8Y7w11fsDyqi0fU</recordid><startdate>20241130</startdate><enddate>20241130</enddate><creator>Lee, Joo-Yong</creator><creator>Jeong, Soon-Taek</creator><creator>Hwang, Ji-Hye</creator><creator>Park, Sang Hi</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Professional Medical Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241130</creationdate><title>Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia</title><author>Lee, Joo-Yong ; Jeong, Soon-Taek ; Hwang, Ji-Hye ; Park, Sang Hi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-406dfc3bce1d9e03d7387b57f21343229e7dd15ba99d8bf9cfa57ff74b76c3e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Analgesics</topic><topic>Analysis</topic><topic>Anesthesia</topic><topic>Care and treatment</topic><topic>Dexmedetomidine</topic><topic>General anesthesia</topic><topic>Lung diseases</topic><topic>Narcotics</topic><topic>Original</topic><topic>Ostomy</topic><topic>Pain</topic><topic>Remifentanil</topic><topic>Thoracic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Joo-Yong</creatorcontrib><creatorcontrib>Jeong, Soon-Taek</creatorcontrib><creatorcontrib>Hwang, Ji-Hye</creatorcontrib><creatorcontrib>Park, Sang Hi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pakistan journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Joo-Yong</au><au>Jeong, Soon-Taek</au><au>Hwang, Ji-Hye</au><au>Park, Sang Hi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia</atitle><jtitle>Pakistan journal of medical sciences</jtitle><addtitle>Pak J Med Sci</addtitle><date>2024-11-30</date><risdate>2024</risdate><volume>40</volume><issue>10</issue><spage>2219</spage><epage>2222</epage><pages>2219-2222</pages><issn>1682-024X</issn><eissn>1681-715X</eissn><abstract>Propofol is more effective than inhalational anesthesia; however, the results for the management of acute pain remain controversial. Therefore, this study aimed to determine the incidence of acute pain after inhalation anesthesia and total intravenous anesthesia among patients who underwent thoracotomy at our hospital.
We conducted a single center retrospective observational study using data from electronic medical records. Sixty patients aged ≥20 years with American Society of Anesthesiologists physical status class I or II who underwent regular and emergency thoracotomy between January 1, 2016, and January 1, 2020, at Chungbuk National University Hospital were included in this study. The anesthesia and postoperative pain records of those who received total intravenous anesthesia (n=30) and inhalation anesthesia (n=30) were retrospectively reviewed. The pain score on the numeric rating scale (NRS) was evaluated at 2, 8, 24, and 30 hours postoperatively.
The average NRS score of patients who received total intravenous anesthesia was lesser than that of those who received inhalational anesthesia. Moreover, the difference in the NRS scores at eight hours postoperatively was statistically significant (P <0.05). Patients who received inhalational anesthesia had a higher pain score and experienced more severe pain than those who received intravenous anesthesia.
Total intravenous anesthesia with propofol-remifentanil provided better analgesia for acute postoperative pain in patients who underwent thoracotomy than inhalational anesthesia, suggesting it may be considered the combination of choice for thoracic surgery.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>39554644</pmid><doi>10.12669/pjms.40.10.9907</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Analgesics Analysis Anesthesia Care and treatment Dexmedetomidine General anesthesia Lung diseases Narcotics Original Ostomy Pain Remifentanil Thoracic surgery |
| title | Postoperative analgesia in patients undergoing thoracotomy: A comparison between total intravenous anesthesia and inhalation anesthesia |
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