Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial

Abstract Background During arthroscopic rotator cuff repair (ARCR), clear surgical field visibility (SFV) is the basis of successful surgery, but the choice of anesthesia maintenance drugs may have different effects on SFV. In this study, we aimed to compare the effects of propofol- and sevoflurane-...

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Main Authors: Wenchao Yin, Chenzhu Yin, Wencan Wang, Rao Peng, Li Su, Peiyu Li
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Anesthesiology
Subjects:
Online Access:https://doi.org/10.1186/s12871-024-02403-1
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author Wenchao Yin
Chenzhu Yin
Wencan Wang
Rao Peng
Li Su
Peiyu Li
author_facet Wenchao Yin
Chenzhu Yin
Wencan Wang
Rao Peng
Li Su
Peiyu Li
author_sort Wenchao Yin
collection DOAJ
description Abstract Background During arthroscopic rotator cuff repair (ARCR), clear surgical field visibility (SFV) is the basis of successful surgery, but the choice of anesthesia maintenance drugs may have different effects on SFV. In this study, we aimed to compare the effects of propofol- and sevoflurane-based general anesthesia on SFV in patients undergoing ARCR. Methods Patients (n = 130) undergoing elective ARCR in the lateral decubitus position were randomized into either the propofol group or sevoflurane group (65 per group). The duration of surgery and increased pressure irrigation (IPI), Boezaart score, rocuronium consumption and usage of remifentanil were recorded. The time of both spontaneous respiration recovery and extubation and the incidences of postoperative nausea and vomiting and agitation were also recorded. Results The Boezaart score, duration of IPI and ratio of the duration of IPI to the duration of surgery (IPI/S ratio) were similar between the groups (P > 0.05). Rocuronium consumption, number of patients requiring remifentanil infusion and total remifentanil consumption were significantly lower in the sevoflurane group (P < 0.05). The spontaneous respiration recovery time was significantly longer in the propofol group (P < 0.05), but there were no differences in the extubation time between the groups(P > 0.05). Conclusions Compared with propofol, sevoflurane provides equally clear SFV while improving the convenience of anesthesia maintenance in ARCR patients with interscalene plexus (ISB) combined with general anesthesia. Trial registration This single-center, prospective, RCT was retrospective registered at Chinese Clinical Trial Registry with the registration number ChiCTR2300072110 (02/06/2023).
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spelling doaj.art-8cf615fea2e94041bc49610a479738ce2024-01-21T12:32:52ZengBMCBMC Anesthesiology1471-22532024-01-012411810.1186/s12871-024-02403-1Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trialWenchao Yin0Chenzhu Yin1Wencan Wang2Rao Peng3Li Su4Peiyu Li5Department of Anesthesiology, Sichuan Provincial Orthopedic HospitalDepartment of Anesthesiology, Sichuan Provincial Orthopedic HospitalDepartment of Anesthesiology, Sichuan Provincial Orthopedic HospitalDepartment of Anesthesiology, Sichuan Provincial Orthopedic HospitalDepartment of Anesthesiology, Sichuan Provincial Orthopedic HospitalDepartment of Anesthesiology, Sichuan Provincial Orthopedic HospitalAbstract Background During arthroscopic rotator cuff repair (ARCR), clear surgical field visibility (SFV) is the basis of successful surgery, but the choice of anesthesia maintenance drugs may have different effects on SFV. In this study, we aimed to compare the effects of propofol- and sevoflurane-based general anesthesia on SFV in patients undergoing ARCR. Methods Patients (n = 130) undergoing elective ARCR in the lateral decubitus position were randomized into either the propofol group or sevoflurane group (65 per group). The duration of surgery and increased pressure irrigation (IPI), Boezaart score, rocuronium consumption and usage of remifentanil were recorded. The time of both spontaneous respiration recovery and extubation and the incidences of postoperative nausea and vomiting and agitation were also recorded. Results The Boezaart score, duration of IPI and ratio of the duration of IPI to the duration of surgery (IPI/S ratio) were similar between the groups (P > 0.05). Rocuronium consumption, number of patients requiring remifentanil infusion and total remifentanil consumption were significantly lower in the sevoflurane group (P < 0.05). The spontaneous respiration recovery time was significantly longer in the propofol group (P < 0.05), but there were no differences in the extubation time between the groups(P > 0.05). Conclusions Compared with propofol, sevoflurane provides equally clear SFV while improving the convenience of anesthesia maintenance in ARCR patients with interscalene plexus (ISB) combined with general anesthesia. Trial registration This single-center, prospective, RCT was retrospective registered at Chinese Clinical Trial Registry with the registration number ChiCTR2300072110 (02/06/2023).https://doi.org/10.1186/s12871-024-02403-1PropofolSevofluraneRotator cuff injuriesArthroscopySurgical field visibilityBlood loss, surgical
spellingShingle Wenchao Yin
Chenzhu Yin
Wencan Wang
Rao Peng
Li Su
Peiyu Li
Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
BMC Anesthesiology
Propofol
Sevoflurane
Rotator cuff injuries
Arthroscopy
Surgical field visibility
Blood loss, surgical
title Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
title_full Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
title_fullStr Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
title_full_unstemmed Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
title_short Effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair: a randomized trial
title_sort effects of propofol versus sevoflurane on surgical field visibility during arthroscopic rotator cuff repair a randomized trial
topic Propofol
Sevoflurane
Rotator cuff injuries
Arthroscopy
Surgical field visibility
Blood loss, surgical
url https://doi.org/10.1186/s12871-024-02403-1
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