Key result
The introduction of desflurane significantly reduced mean awakening time to 10 minutes in 2015 compared to 14-16 minutes in historical cohorts, and shortened PACU stay times (p<0.01).
Why the study?
Does the introduction of desflurane improve awakening time and operating room efficiency in patients undergoing general anesthesia?
Observational (n=807)
No
Does the introduction of desflurane improve awakening time and operating room efficiency in patients undergoing general anesthesia?
The use of desflurane in general anesthesia significantly shortens awakening time and improves operating room efficiency, facilitating day surgery.
Answers are grounded in this paper and cite their sources.
May shorten awakening times with desflurane; leaves open confirmation of OR efficiency gains in randomized trials.
近年，医療技術の革新的進歩により低侵襲手術が増え，従来入院を必要としていた手術を日帰りで行うことが可能になってきている．また，多くの急性期病院では診断群分類（Diagnosis Procedure Combination：DPC）方式を導入している．この制度では病院経営上，手術件数の増加が求められる．全身麻酔薬の進歩も著しく，2011年にデスフルランが使用可能となった．この変遷は実際に全身麻酔患者の覚醒時間と，PACU滞在時間の短縮をもたらした．このことは術後患者における全身状態の回復の早さを意味し，以前より日帰り手術を可能にする割合が増えるだけでなく，手術室の安全対策や効率化に寄与しているといえる．
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Mitsumasa MATSUDA (2016) conducted an observational in General anesthesia (n=807). Desflurane availability (2015 period) vs. Historical periods before desflurane availability (2000 and 2010) was evaluated on Awakening time (minutes) (p=<0.01). The introduction of desflurane significantly reduced mean awakening time to 10 minutes in 2015 compared to 14-16 minutes in historical cohorts, and shortened PACU stay times (p<0.01).
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