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Article: The analgesic effects of intraoperative total intravenous anesthesia (TIVA) with propofol versus sevoflurane after colorectal surgery

TitleThe analgesic effects of intraoperative total intravenous anesthesia (TIVA) with propofol versus sevoflurane after colorectal surgery
Authors
KeywordsAcute
Colorectal surgery
Pain
Postoperative analgesia
Postoperative opioid consumption
Propofol
Sevoflurane
Total intravenous anesthesia
Issue Date2018
PublisherLippincott, Williams & Wilkins: Various Creative Commons. The Journal's web site is located at http://journals.lww.com/md-journal/pages/default.aspx
Citation
Medicine, 2018, v. 97 n. 31, article no. e11615 How to Cite?
AbstractClinical studies have shown that total intravenous anesthesia (TIVA) with propofol is associated with better postoperative pain control compared with inhalational anesthesia, while other studies have not shown any benefit. The analgesic effect of TIVA with propofol in colorectal surgery has not been studied. The aim of this study is to evaluate the postoperative analgesic effects of TIVA with propofol versus inhalational sevoflurane in colorectal surgery. This is a retrospective case–control study. Records of patients undergoing colorectal surgery from 2014 to 2016 (36 months) were retrieved. Ninety-five patients who received TIVA with propofol were matched against 95 patients who received inhalational sevoflurane. Acute postoperative numerical rating scale (NRS) pain scores, postoperative morphine consumption, patient satisfaction, and side effects were compared and analyzed for differences between TIVA with propofol and sevoflurane. There were no significant differences in NRS pain scores, incidence of side effects, and patient satisfaction between the 2 groups. Patients receiving TIVA with propofol had significantly reduced total morphine consumption (P < .001), and daily morphine consumption on postoperative days 1 (P = .031), 2 (P = .002), and 3 (P = .031) compared with those receiving sevoflurane. TIVA with propofol was not associated with improved postoperative analgesia, better patient satisfaction, or reduced side effects. It may reduce postoperative opioid consumption after colorectal surgery.
Persistent Identifierhttp://hdl.handle.net/10722/261716
ISSN
2019 Impact Factor: 1.552
2015 SCImago Journal Rankings: 0.877
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, SSC-
dc.contributor.authorChoi, SW-
dc.contributor.authorLee, Y-
dc.contributor.authorIrwin, MG-
dc.contributor.authorCheung, CW-
dc.date.accessioned2018-09-28T04:46:34Z-
dc.date.available2018-09-28T04:46:34Z-
dc.date.issued2018-
dc.identifier.citationMedicine, 2018, v. 97 n. 31, article no. e11615-
dc.identifier.issn0025-7974-
dc.identifier.urihttp://hdl.handle.net/10722/261716-
dc.description.abstractClinical studies have shown that total intravenous anesthesia (TIVA) with propofol is associated with better postoperative pain control compared with inhalational anesthesia, while other studies have not shown any benefit. The analgesic effect of TIVA with propofol in colorectal surgery has not been studied. The aim of this study is to evaluate the postoperative analgesic effects of TIVA with propofol versus inhalational sevoflurane in colorectal surgery. This is a retrospective case–control study. Records of patients undergoing colorectal surgery from 2014 to 2016 (36 months) were retrieved. Ninety-five patients who received TIVA with propofol were matched against 95 patients who received inhalational sevoflurane. Acute postoperative numerical rating scale (NRS) pain scores, postoperative morphine consumption, patient satisfaction, and side effects were compared and analyzed for differences between TIVA with propofol and sevoflurane. There were no significant differences in NRS pain scores, incidence of side effects, and patient satisfaction between the 2 groups. Patients receiving TIVA with propofol had significantly reduced total morphine consumption (P < .001), and daily morphine consumption on postoperative days 1 (P = .031), 2 (P = .002), and 3 (P = .031) compared with those receiving sevoflurane. TIVA with propofol was not associated with improved postoperative analgesia, better patient satisfaction, or reduced side effects. It may reduce postoperative opioid consumption after colorectal surgery.-
dc.languageeng-
dc.publisherLippincott, Williams & Wilkins: Various Creative Commons. The Journal's web site is located at http://journals.lww.com/md-journal/pages/default.aspx-
dc.relation.ispartofMedicine-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAcute-
dc.subjectColorectal surgery-
dc.subjectPain-
dc.subjectPostoperative analgesia-
dc.subjectPostoperative opioid consumption-
dc.subjectPropofol-
dc.subjectSevoflurane-
dc.subjectTotal intravenous anesthesia-
dc.titleThe analgesic effects of intraoperative total intravenous anesthesia (TIVA) with propofol versus sevoflurane after colorectal surgery-
dc.typeArticle-
dc.identifier.emailWong, SSC: wongstan@hku.hk-
dc.identifier.emailChoi, SW: htswchoi@hku.hk-
dc.identifier.emailLee, Y: yves@hku.hk-
dc.identifier.emailIrwin, MG: mgirwin@hku.hk-
dc.identifier.emailCheung, CW: cheucw@hku.hk-
dc.identifier.authorityWong, SSC=rp01789-
dc.identifier.authorityChoi, SW=rp02552-
dc.identifier.authorityIrwin, MG=rp00390-
dc.identifier.authorityCheung, CW=rp00244-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1097/MD.0000000000011615-
dc.identifier.pmid30075537-
dc.identifier.pmcidPMC6081200-
dc.identifier.scopuseid_2-s2.0-85051211879-
dc.identifier.hkuros293446-
dc.identifier.volume97-
dc.identifier.issue31-
dc.identifier.spagearticle no. e11615-
dc.identifier.epagearticle no. e11615-
dc.identifier.isiWOS:000442259200047-
dc.publisher.placeUnited States-

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