What does this research mean for the field?

Desflurane-remifentanil anesthesia provides faster and more complete early and late recovery compared to propofol-remifentanil and sevoflurane-remifentanil in long-term craniofacial surgery, while all three techniques successfully achieve controlled hypotension with similar postoperative morbidity. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

July 1, 2005Journal of Craniofacial Surgery

Hypotensive Anesthesia and Recovery of Cognitive Function in Long-term Craniofacial Surgery

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Why the study?

Does desflurane or sevoflurane combined with remifentanil improve hemodynamics, recovery, and postoperative morbidity compared to propofol-remifentanil in patients undergoing craniofacial surgery?

Structured PICO

Does desflurane or sevoflurane combined with remifentanil improve hemodynamics, recovery, and postoperative morbidity compared to propofol-remifentanil in patients undergoing craniofacial surgery?

Population

120 patients with American Society of Anesthesiologists (ASA) classification of I or II, 18 to 32 years old, undergoing maxillary and mandibular osteotomies

Intervention

Anesthesia with desflurane-remifentanil (group D) or sevoflurane-remifentanil (group S), with remifentanil titrated to maintain controlled hypotension

Comparator

Anesthesia with propofol-remifentanil (group P), with remifentanil titrated to maintain controlled hypotension

Outcome

Hemodynamics, recovery, and postoperative morbidity

Desflurane-remifentanil anesthesia provides faster and more complete recovery compared to propofol or sevoflurane in young patients undergoing craniofacial surgery.

Discussion

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Implication

May favor desflurane-remifentanil for faster recovery in craniofacial surgery; extends RCT data versus propofol.

Cite This Study

Caverni et al. (2005) studied this question.

synapsesocial.com/papers/6a1a2ee37d55b2e1cd5b62d8 https://doi.org/10.1097/01.scs.0000159084.60049.e6

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Hypotensive Anesthesia and Recovery of Cognitive Function in Long-term Craniofacial Surgery

Structured PICO

Discussion

Implication

Cite This Study

Hypotensive Anesthesia and Recovery of Cognitive Function in Long-term Craniofacial Surgery

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider