Background and Aim: The aim of the present study was to compare the effect of volatile induction and maintenance of anesthesia (VIMA) and target controlled infusion (TCI) on cardiovascular stability in New York Heart Association (NYHA) grade II patients who underwent laparoscopic cholecystectomy. Patients and methods: In the present study, 90 patients were randomized into two groups depending on whether they received VIMA or TCI. Heart rate, systolic, diastolic and mean arterial pressure were monitored continuously and recorded in five time intervals. Results: Statistical analysis showed that VIMA with sevoflurane provides better cardiocirculatory stability (less than 10% deviation from basal values for each measured parameter) than TCI group (p < 0.01). Conclusion: Volatile induction and maintenance of anesthesia with sevoflurane provides better hemodynamic stability for NYHA II patients with concomitant cardiovascular diseases compared to TCI.
References
1.
Yufune S, Takamatsu I, Masui K, Kazama T. Effect of remifentanil on plasma propofol concentration and bispectral index during propofol anaesthesia. British Journal of Anaesthesia. 2011;106(2):208–14.
2.
Husedzinović I, Tonković D, Barisin S. Hemodynamic differences in sevoflurane versus propofol anesthesia. Coll Antropol. 2003;27(1):205–12.
3.
Matute E, Alsina E, Roses R, Blanc G, Pérez-Hernández C, Gilsanz F. An Inhalation Bolus of Sevoflurane Versus an Intravenous Bolus of Remifentanil for Controlling Hemodynamic Responses to Surgical Stress During Major Surgery: A Prospective Randomized Trial. Anesthesia & Analgesia. 2002;94(5):1217–22.
4.
Ozkose Z, Ercan B, Ünal Y, Yardim S, Kaymaz M, Dogulu F, et al. Inhalation Versus Total Intravenous Anesthesia for Lumbar Disc Herniation. Journal of Neurosurgical Anesthesiology. 2001;13(4):296–302.
5.
Deng X, Zhu T. Clinical comparison of propofol-remifentanil TCI with sevoflurane induction/maintenance anesthesia in laparoscopic cholecystectomy. Pakistan Journal of Medical Sciences. 30(5).
6.
El-Orbany MI, Wafai Y, Joseph NJ, Salem MR. Tracheal intubation conditions and cardiovascular effects after modified rapid-sequence induction with sevoflurane-rapacuronium versus propofol-rapacuronium. Journal of Clinical Anesthesia. 2002;14(2):115–20.
7.
Watson KR, Shah MV. Clinical comparison of ‘single agent’ anaesthesia with sevoflurane versus target controlled infusion of propofol. British Journal of Anaesthesia. 2000;85(4):541–6.
8.
Atallah MM, Othman MM. Robotic laparoscopic radical cystectomy inhalational versus total intravenous anesthesia: a pilot study. Middle East J Anesthesiol. 2009;20(2):257–63.
9.
Kanaya N, Satoh H, Seki S, Nakayama M, Namiki A. Propofol Anesthesia Enhances the Pressor Response to Intravenous Ephedrine. Anesthesia & Analgesia. 2002;94(5):1207–11.
10.
Gotoda T, Okada H, Hori K, Kawahara Y, Iwamuro M, Abe M, et al. Propofol sedation with a target-controlled infusion pump and bispectral index monitoring system in elderly patients during a complex upper endoscopy procedure. Gastrointestinal Endoscopy. 2016;83(4):756–64.
11.
Azbarov N, Burov N, Kornienco AN. Genesis of cardiorespiratory dysfunction at laparoscopic cholecystectomy. 12th World Congress of Anaesthesiologists. Book of Abstracts, str. 2000;(P2. 1):13.
12.
Watanabe K, Kashiwagi K, Kamiyama T, Yamamoto M, Fukunaga M, Inada E, et al. High-dose remifentanil suppresses stress response associated with pneumoperitoneum during laparoscopic colectomy. Journal of Anesthesia. 2014;28(3):334–40.
13.
Zhou WM. Effect of different concentration of remifentanil in clinical anesthesia on hemodynamic. Chinese J Mod Drug Appl. 2013;7:375–8.
14.
Albertin A, Casati A, Federica L, Roberto V, Travaglini V, Bergonzi P, et al. The Effect-Site Concentration of Remifentanil Blunting Cardiovascular Responses to Tracheal Intubation and Skin Incision During Bispectral Index-Guided Propofol Anesthesia. Anesthesia & Analgesia. 2005;101(1):125–30.
15.
Bickel A. Overcoming Reduced Hepatic and Renal Perfusion Caused by Positive-Pressure Pneumoperitoneum. Archives of Surgery. 2007;142(2):119.
16.
Antoniou SA, Antoniou GA, Koch OO, Pointner R, Granderath FA. Laparoscopic colorectal surgery confers lower mortality in the elderly: a systematic review and meta-analysis of 66,483 patients. Surgical Endoscopy. 2015;29(2):322–33.
17.
Fujii S, Ishibe A, Ota M, Yamagishi S, Watanabe K, Watanabe J, et al. Short-term results of a randomized study between laparoscopic and open surgery in elderly colorectal cancer patients. Surgical Endoscopy. 2014;28(2):466–76.
18.
Stosic B, Stojanovic M, Jankovic R, Radojkovic M, Ignjatovic N. Implications of anesthetic techniques on patients’ recovery in laparoscopic cholecystectomy. Vojnosanitetski pregled. 2009;66(6):421–6.
19.
Sudheer PS, Logan SW, Ateleanu B, Hall JE. Haemodynamic effects of the prone position: a comparison of propofol total intravenous and inhalation anaesthesia. Anaesthesia. 2006;61(2):138–41.
20.
Barkun JS, Caro JJ, Barkun AN. Costeffectiveness of laparoscopic and minicholecystectomy in a prospective randomized trial. Surg Endosc. 1995;9:1221–4.
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