Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial

Detalhes bibliográficos
Autor(a) principal: Moro, Eduardo Toshiyuki
Data de Publicação: 2016
Outros Autores: Leme, Fábio Caetano Oliveira, Noronha, Bernardo Roveda, Saraiva, Gustavo Farinha Pinto, de Matos Leite, Nathália Vianna, Navarro, Laís Helena Camacho [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.jclinane.2016.08.022
http://hdl.handle.net/11449/173640
Resumo: Study objectives The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire. Design Prospective randomized clinical trial. Setting The setting is at an operating room, a postoperative recovery area, and a hospital ward. Patients One-hundred thirty American Society of Anesthesiologists physical status I or II patients scheduled to undergo general anesthesia for ORL interventions under remifentanil, in combination with sevoflurane (balanced technique) or propofol (total intravenous anesthesia). Measurements Occurrence of nausea, vomiting, body temperature less than 36°C, and length of stay in the postanesthesia care unit were recorded. The QoR-40 was administered by an investigator blind to group allocation 24 hours after surgery. The quality of recovery, as assessed by the score on the QoR-40, was compared between the groups. Main results There is no difference regarding the QoR-40 score among intravenous and inhalation anesthesia groups (190.5 vs 189.5, respectively; P = .33). Similarly, among the 5 dimensions of the QoR-40, the scores were comparable between the groups. Incidence of hypothermia (P = .58), nauseas or vomits (P = .39), and length of surgery (P = .16) were similar among groups. The evaluation of pain intensity (P = .80) and dose of morphine use in the postanesthesia care unit (P = .4) was also comparable between groups. Conclusions The quality of recovery from anesthesia assessed based on the patients' perception did not differ between the ones subjected to either inhalation or intravenous general anesthesia for ORL surgery based on QoR-40 questionnaire assessment.
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spelling Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trialInhalation anesthesiaIntravenous anesthesiaPatient satisfactionQuality measuresQuestionnaireRecovery from anesthesiaStudy objectives The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire. Design Prospective randomized clinical trial. Setting The setting is at an operating room, a postoperative recovery area, and a hospital ward. Patients One-hundred thirty American Society of Anesthesiologists physical status I or II patients scheduled to undergo general anesthesia for ORL interventions under remifentanil, in combination with sevoflurane (balanced technique) or propofol (total intravenous anesthesia). Measurements Occurrence of nausea, vomiting, body temperature less than 36°C, and length of stay in the postanesthesia care unit were recorded. The QoR-40 was administered by an investigator blind to group allocation 24 hours after surgery. The quality of recovery, as assessed by the score on the QoR-40, was compared between the groups. Main results There is no difference regarding the QoR-40 score among intravenous and inhalation anesthesia groups (190.5 vs 189.5, respectively; P = .33). Similarly, among the 5 dimensions of the QoR-40, the scores were comparable between the groups. Incidence of hypothermia (P = .58), nauseas or vomits (P = .39), and length of surgery (P = .16) were similar among groups. The evaluation of pain intensity (P = .80) and dose of morphine use in the postanesthesia care unit (P = .4) was also comparable between groups. Conclusions The quality of recovery from anesthesia assessed based on the patients' perception did not differ between the ones subjected to either inhalation or intravenous general anesthesia for ORL surgery based on QoR-40 questionnaire assessment.Department of Surgery School of Medical and Health Sciences Pontifical Catholic University of São Paulo PUC-SPSchool of Medical and Health Sciences Pontifical Catholic University of São Paulo PUC-SPDepartment of Anesthesiology Botucatu Medical School São Paulo State University—UNESPDepartment of Anesthesiology Botucatu Medical School São Paulo State University—UNESPUniversidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Moro, Eduardo ToshiyukiLeme, Fábio Caetano OliveiraNoronha, Bernardo RovedaSaraiva, Gustavo Farinha Pintode Matos Leite, Nathália ViannaNavarro, Laís Helena Camacho [UNESP]2018-12-11T17:07:02Z2018-12-11T17:07:02Z2016-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article369-375application/pdfhttp://dx.doi.org/10.1016/j.jclinane.2016.08.022Journal of Clinical Anesthesia, v. 35, p. 369-375.1873-45290952-8180http://hdl.handle.net/11449/17364010.1016/j.jclinane.2016.08.0222-s2.0-849917301452-s2.0-84991730145.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Clinical Anesthesia0,484info:eu-repo/semantics/openAccess2024-08-14T13:20:09Zoai:repositorio.unesp.br:11449/173640Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:09Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
title Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
spellingShingle Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
Moro, Eduardo Toshiyuki
Inhalation anesthesia
Intravenous anesthesia
Patient satisfaction
Quality measures
Questionnaire
Recovery from anesthesia
title_short Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
title_full Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
title_fullStr Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
title_full_unstemmed Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
title_sort Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial
author Moro, Eduardo Toshiyuki
author_facet Moro, Eduardo Toshiyuki
Leme, Fábio Caetano Oliveira
Noronha, Bernardo Roveda
Saraiva, Gustavo Farinha Pinto
de Matos Leite, Nathália Vianna
Navarro, Laís Helena Camacho [UNESP]
author_role author
author2 Leme, Fábio Caetano Oliveira
Noronha, Bernardo Roveda
Saraiva, Gustavo Farinha Pinto
de Matos Leite, Nathália Vianna
Navarro, Laís Helena Camacho [UNESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Moro, Eduardo Toshiyuki
Leme, Fábio Caetano Oliveira
Noronha, Bernardo Roveda
Saraiva, Gustavo Farinha Pinto
de Matos Leite, Nathália Vianna
Navarro, Laís Helena Camacho [UNESP]
dc.subject.por.fl_str_mv Inhalation anesthesia
Intravenous anesthesia
Patient satisfaction
Quality measures
Questionnaire
Recovery from anesthesia
topic Inhalation anesthesia
Intravenous anesthesia
Patient satisfaction
Quality measures
Questionnaire
Recovery from anesthesia
description Study objectives The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire. Design Prospective randomized clinical trial. Setting The setting is at an operating room, a postoperative recovery area, and a hospital ward. Patients One-hundred thirty American Society of Anesthesiologists physical status I or II patients scheduled to undergo general anesthesia for ORL interventions under remifentanil, in combination with sevoflurane (balanced technique) or propofol (total intravenous anesthesia). Measurements Occurrence of nausea, vomiting, body temperature less than 36°C, and length of stay in the postanesthesia care unit were recorded. The QoR-40 was administered by an investigator blind to group allocation 24 hours after surgery. The quality of recovery, as assessed by the score on the QoR-40, was compared between the groups. Main results There is no difference regarding the QoR-40 score among intravenous and inhalation anesthesia groups (190.5 vs 189.5, respectively; P = .33). Similarly, among the 5 dimensions of the QoR-40, the scores were comparable between the groups. Incidence of hypothermia (P = .58), nauseas or vomits (P = .39), and length of surgery (P = .16) were similar among groups. The evaluation of pain intensity (P = .80) and dose of morphine use in the postanesthesia care unit (P = .4) was also comparable between groups. Conclusions The quality of recovery from anesthesia assessed based on the patients' perception did not differ between the ones subjected to either inhalation or intravenous general anesthesia for ORL surgery based on QoR-40 questionnaire assessment.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
2018-12-11T17:07:02Z
2018-12-11T17:07:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.jclinane.2016.08.022
Journal of Clinical Anesthesia, v. 35, p. 369-375.
1873-4529
0952-8180
http://hdl.handle.net/11449/173640
10.1016/j.jclinane.2016.08.022
2-s2.0-84991730145
2-s2.0-84991730145.pdf
url http://dx.doi.org/10.1016/j.jclinane.2016.08.022
http://hdl.handle.net/11449/173640
identifier_str_mv Journal of Clinical Anesthesia, v. 35, p. 369-375.
1873-4529
0952-8180
10.1016/j.jclinane.2016.08.022
2-s2.0-84991730145
2-s2.0-84991730145.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal of Clinical Anesthesia
0,484
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 369-375
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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