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World Journal of Surgery

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01-08-2021 | Pancreatoduodenostomy | Original Scientific Report

Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire

Authors: Young-Eun Joe, Chang Moo Kang, Hye-Mi Lee, Ki-Jun Kim, Ho Kyoung Hwang, Jeong-Rim Lee

Published in: World Journal of Surgery | Issue 8/2021

Abstract

Background

There has been increasing attention on the subjective recovery of patients undergoing cancer surgery. Total intravenous anesthesia (TIVA) and inhaled anesthesia with volatile anesthetics (INHA) are safe and common anesthetic techniques. Currently, TIVA and INHA have only been compared for less invasive and less complex surgeries. This prospective randomized trial aimed to compare the quality of recovery between TIVA and INHA in patients undergoing pancreatoduodenectomy (PD) or distal pancreatectomy (DP) using the Quality of Recovery (QOR)-40 questionnaire.

Methods

We enrolled 132 patients who were randomly assigned to either the desflurane (DES) (INHA, balanced anesthesia with DES and remifentanil infusion) or TIVA (effect-site target-controlled infusion of propofol and remifentanil) groups and completed the QOR-40 questionnaire postoperatively.

Results

The mean global QOR-40 score on postoperative day 3 was significantly higher in the TIVA group than in the DES group. In the PD group, the total QOR-40 score was significantly higher in the TIVA group than in the DES group. Moreover, the TIVA group had significantly higher scores in the physical comfort and psychological support QOR-40 dimensions than the DES group.

Conclusion

TIVA provides better quality of recovery scores on POD 3 for patients undergoing curative pancreatectomy.

Clinical trial registration number: NCT03447691

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Title: Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire
Authors: Young-Eun Joe
Chang Moo Kang
Hye-Mi Lee
Ki-Jun Kim
Ho Kyoung Hwang
Jeong-Rim Lee
Publication date: 01-08-2021
Publisher: Springer International Publishing
Keywords: Pancreatoduodenostomy
Pancreatectomy
Pancreatoduodenostomy
Remifentanil
Desflurane
Propofol
Published in: World Journal of Surgery / Issue 8/2021
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-021-06117-0

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Quality of Recovery of Patients Who Underwent Curative Pancreatectomy: Comparison of Total Intravenous Anesthesia Versus Inhalation Anesthesia Using the QOR-40 Questionnaire

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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