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Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial

  • Authors:
    • Peng Zhao
    • Yunfeng Cui
    • Lihua Sun
    • Xufang Sun
  • View Affiliations / Copyright

    Affiliations: Department of Anesthesiology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
    Copyright: © Zhao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 54
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    Published online on: November 19, 2020
       https://doi.org/10.3892/etm.2020.9486
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Abstract

The objective of the present study was to determine whether the addition of inhaled desflurane is superior to remifentanil-propofol total intravenous anesthesia (TIVA) alone in patients undergoing laparoscopic gynecological surgery. A total of 60 patients who were scheduled to undergo laparoscopic gynecological surgery were prospectively enrolled and randomly allocated to receive either propofol-remifentanil (PR group; n=30) or combined propofol-remifentanil and low-dose desflurane (PRD group; n=30) for the maintenance of anesthesia. Hemodynamics [mean arterial pressure (MAP); heart rate (HR)], recovery parameters and complications were recorded. The results of the present study indicated that the addition of desflurane significantly reduced the amount of propofol and remifentanil that was administered in the PRD group, compared with that in the PR group. MAP and HR were significantly higher at T3 (5 min post-pneumoperitoneum), but significantly lower at T4 (removal of pneumoperitoneum needle) and T5 (post-operation immediately) in the PR group, compared with the PRD group. Moreover, MAP and HR were significantly altered at multiple time points within the PR group; however, they were relatively stable in the PRD group. There were no significant differences in the recovery parameters and complications between the two groups. In conclusion, combining low-dose desflurane with PR may represent an efficient anesthesia regimen to prevent the hemodynamic instability of TIVA in patients undergoing laparoscopic gynecological surgery.
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Copy and paste a formatted citation
Spandidos Publications style
Zhao P, Cui Y, Sun L and Sun X: Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial. Exp Ther Med 21: 54, 2021.
APA
Zhao, P., Cui, Y., Sun, L., & Sun, X. (2021). Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial. Experimental and Therapeutic Medicine, 21, 54. https://doi.org/10.3892/etm.2020.9486
MLA
Zhao, P., Cui, Y., Sun, L., Sun, X."Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial". Experimental and Therapeutic Medicine 21.1 (2021): 54.
Chicago
Zhao, P., Cui, Y., Sun, L., Sun, X."Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial". Experimental and Therapeutic Medicine 21, no. 1 (2021): 54. https://doi.org/10.3892/etm.2020.9486
Copy and paste a formatted citation
x
Spandidos Publications style
Zhao P, Cui Y, Sun L and Sun X: Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial. Exp Ther Med 21: 54, 2021.
APA
Zhao, P., Cui, Y., Sun, L., & Sun, X. (2021). Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial. Experimental and Therapeutic Medicine, 21, 54. https://doi.org/10.3892/etm.2020.9486
MLA
Zhao, P., Cui, Y., Sun, L., Sun, X."Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial". Experimental and Therapeutic Medicine 21.1 (2021): 54.
Chicago
Zhao, P., Cui, Y., Sun, L., Sun, X."Inhalation of low-dose desflurane prevents the hemodynamic instability caused by target-controlled infusion of remifentanil and propofol during laparoscopic gynecological surgery: A randomized controlled trial". Experimental and Therapeutic Medicine 21, no. 1 (2021): 54. https://doi.org/10.3892/etm.2020.9486
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