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March 1, 2002Anesthesia & Analgesia

Fast-Track Eligibility of Geriatric Patients Undergoing Short Urologic Surgery Procedures

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Why the study?

Does desflurane improve fast-track eligibility compared to propofol or isoflurane in geriatric patients undergoing short urologic procedures?

Population

90 ASA physical status I-III consenting outpatients (>65 yr) undergoing short urologic procedures

Comparison

Desflurane in combination with nitrous oxide 70%… vs Propofol or isoflurane, in combination with…

Design

RCT, Randomly assigned to one of three anesthetic treatment groups

Follow-up

Early recovery period

Authors

BFBrian FredmanTel Aviv UniversityOSOffer ShefferEZEdna ZoharMeir Medical Center

Discussion

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Implication

Desflurane hastens fast-track eligibility in geriatric urologic outpatients; extends RCT evidence favoring volatiles over propofol and isoflurane.

Structured PICO

Does desflurane improve fast-track eligibility compared to propofol or isoflurane in geriatric patients undergoing short urologic procedures?

P
Population
90 ASA physical status I-III consenting outpatients (>65 yr) undergoing short urologic procedures
I
Intervention
Desflurane (3%-6% end tidal) in combination with nitrous oxide 70% in oxygen, titrated to maintain an electroencephalographic-bispectral index value of 60-65
C
Comparator
Propofol (75-150 microg/kg/min IV) or isoflurane (0.7%-1.2% end tidal), in combination with nitrous oxide 70% in oxygen, titrated to maintain an electroencephalographic-bispectral index value of 60-65
O
Outcome
Feasibility of bypassing the postanesthesia care unit (PACU) after ambulatory surgery (fast-track eligibility)

Desflurane facilitates faster achievement of fast-track discharge criteria compared to propofol and isoflurane in geriatric outpatients undergoing brief urologic procedures.

Cite This Study

Fredman et al. (2002) studied this question.

synapsesocial.com/papers/6a86ed38713eb98b40ca171fhttps://doi.org/10.1097/00000539-200203000-00015
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1New Criteria for Fast-Tracking After Outpatient Anesthesia1999 · 254 citations
  2. 2Fast-Tracking After Outpatient Laparoscopy: Reasons for Failure After Propofol, Sevoflurane, and Desflurane Anesthesia2001 · 66 citations
  3. 3Is the Bispectral Index Useful in Predicting Fast-Track Eligibility After Ambulatory Anesthesia with Propofol and Desflurane?1998 · 85 citations
  4. 4Awakening, Clinical Recovery, and Psychomotor Effects After Desflurane and Propofol Anesthesia1996 · 52 citations
  5. 5Is the Bispectral Index Useful in Predicting Fast-Track Eligibility After Ambulatory Anesthesia with Propofol and Desflurane?1998 · 67 citations