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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BMC
2024-01-01
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Series: | BMC Anesthesiology |
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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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series | BMC Anesthesiology |
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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