Impact of general anesthesia on postoperative complications in orthognathic surgery: a retrospective comparison of total intravenous anesthesia versus volatile anesthesia.
Humans
Female
Male
Retrospective Studies
Adult
Anesthesia, Intravenous
/ adverse effects
Anesthesia, General
/ adverse effects
Postoperative Nausea and Vomiting
/ epidemiology
Orthognathic Surgical Procedures
/ adverse effects
Postoperative Complications
/ etiology
Orthognathic Surgery
/ methods
Young Adult
Anesthesia, Inhalation
/ adverse effects
Hemodynamics
/ drug effects
Anesthetics, Intravenous
/ administration & dosage
Osteotomy, Sagittal Split Ramus
/ adverse effects
Fentanyl
/ administration & dosage
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
12 Jul 2024
12 Jul 2024
Historique:
received:
01
12
2023
accepted:
05
07
2024
medline:
12
7
2024
pubmed:
12
7
2024
entrez:
11
7
2024
Statut:
epublish
Résumé
Orthognathic surgery has a high incidence of postoperative nausea (PON) and vomiting (POV), delaying mobility initiation and postoperative recovery. Bleeding is another risk associated with this surgical procedure. We aimed to compare total intravenous anesthesia (TIVA) and volatile anesthesia in patients undergoing orthognathic surgery in terms of postoperative nausea and vomiting (PONV) incidence and hemodynamic changes. This retrospective study included 82 patients who underwent bilateral sagittal split ramus osteotomies at Saga University Hospital between April 2016 and April 2021. We compared the effects of TIVA and volatile anesthesia on PONV onset after surgery, acute postoperative hemodynamic changes (blood pressure and heart rate), and factors contributing to PONV. PON was significantly lower in the TIVA group than in the volatile anesthesia group. The total dose of fentanyl contributed to the onset of POV, while the onset of PON was associated with low volumes of fluid infusion and urine in the TIVA and volatile anesthesia groups, respectively. Furthermore, post-extubation hemodynamic change was significantly smaller in the TIVA group than in the volatile anesthesia group. Therefore, TIVA could have a reduced risk of PONV and hemodynamic changes in patients undergoing orthognathic surgery. Employing TIVA could mitigate perioperative complications and enhance patient safety.
Identifiants
pubmed: 38992157
doi: 10.1038/s41598-024-66926-w
pii: 10.1038/s41598-024-66926-w
doi:
Substances chimiques
Anesthetics, Intravenous
0
Fentanyl
UF599785JZ
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
16075Informations de copyright
© 2024. The Author(s).
Références
Macario, A., Weinger, M., Carney, S. & Kim, A. Which clinical anesthesia outcomes are important to avoid?. Perspect. Patients Anesth. Analg. 89, 652–658 (1999).
doi: 10.1213/00000539-199909000-00022
Gan, T. J. et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth. Analg. 131, 411–448 (2020).
doi: 10.1213/ANE.0000000000004833
pubmed: 32467512
Apfel, C. C., Läärä, E., Koivuranta, M., Greim, C. A. & Roewer, N. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology 91, 693–700 (1999).
doi: 10.1097/00000542-199909000-00022
pubmed: 10485781
Kovac, A. L. Prevention and treatment of postoperative nausea and vomiting. Drugs 59, 213–243 (2000).
doi: 10.2165/00003495-200059020-00005
pubmed: 10730546
Dobbeleir, M., De Coster, J., Coucke, W. & Politis, C. Postoperative nausea and vomiting after oral and maxillofacial surgery: a prospective study. Int. J. Oral Maxillofac. Surg. 47, 721–725 (2018).
doi: 10.1016/j.ijom.2017.11.018
pubmed: 29301675
Apfel, C. C. et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: A randomized controlled trial of factorial design. Br. J. Anaesth. 88, 659–668 (2002).
doi: 10.1093/bja/88.5.659
pubmed: 12067003
Silva, A. C., O’Ryan, F. & Poor, D. B. Postoperative nausea and vomiting (PONV) after orthognathic surgery: A retrospective study and literature review. J. Oral Maxillofac. Surg. 64, 1385–1397 (2006).
doi: 10.1016/j.joms.2006.05.024
pubmed: 16916674
Phillips, C., Brookes, C. D., Rich, J., Arbon, J. & Turvey, T. A. Postoperative nausea and vomiting following orthognathic surgery. Int. J. Oral Maxillofac. Surg. 44, 745–751 (2015).
doi: 10.1016/j.ijom.2015.01.006
pubmed: 25655765
pmcid: 4430405
O’Dwyer, J. P., Yorukoglu, D. & Harris, M. N. The use of esmolol to attenuate the haemodynamic response when extubating patients following cardiac surgery–A double-blind controlled study. Eur. Heart J. 14, 701–704 (1993).
doi: 10.1093/eurheartj/14.5.701
pubmed: 8099549
Kanaya, A., Kuratani, N., Satoh, D. & Kurosawa, S. Lower incidence of emergence agitation in children after propofol anesthesia compared with sevoflurane: A meta-analysis of randomized controlled trials. J. Anesth. 28, 4–11 (2014).
doi: 10.1007/s00540-013-1656-y
pubmed: 23800983
Yu, D., Chai, W., Sun, X. & Yao, L. Emergence agitation in adults: risk factors in 2000 patients. Can. J. Anaesth. 57, 843–848 (2010).
doi: 10.1007/s12630-010-9338-9
pubmed: 20526708
Laskin, D. M., Carrico, C. K. & Wood, J. Predicting postoperative nausea and vomiting in patients undergoing oral and maxillofacial surgery. Int. J. Oral Maxillofac. Surg. 49, 22–27 (2020).
doi: 10.1016/j.ijom.2019.06.016
pubmed: 31230771
Vetter, M. et al. The benefit of bilateral inferior alveolar nerve block in managing postoperative nausea and vomiting (PONV) after mandibular osteotomy. J. Craniomaxillofac. Surg. 48, 399–404 (2020).
doi: 10.1016/j.jcms.2020.02.012
pubmed: 32199717
Youden, W. J. Index for rating diagnostic tests. Cancer 3, 32–35 (1950).
doi: 10.1002/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3
pubmed: 15405679
Maharaj, C. H. et al. Preoperative intravenous fluid therapy decreases postoperative nausea and pain in high risk patients. Anesth. Analg. 100, 675–682 (2005).
doi: 10.1213/01.ANE.0000148684.64286.36
pubmed: 15728051
Fearon, K. C. et al. Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection. Clin. Nutr. 24, 466–477 (2005).
doi: 10.1016/j.clnu.2005.02.002
pubmed: 15896435
Sharkey, K. A. & Wallace, J. L. Treatment of disorders of bowel motility and water flux; anti-emetics; agents used in biliary and pancreatic disease in Goodman & Gilman’s The Pharmacological Basis of Therapeutics 12e (ed. Brunton, L. L., Chabner, B. A. & Knollmann, B. C.) 1341 (McGraw Hill, New York, 2011).
Watcha, M. F. & White, P. F. Postoperative nausea and vomiting. Its etiology, treatment, and prevention. Anesthesiology 77, 162–184 (1992).
doi: 10.1097/00000542-199207000-00023
pubmed: 1609990
Bidwai, A. V., Bidwai, V. A., Rogers, C. R. & Stanley, T. H. Blood-pressure and pulse-rate responses to endotracheal extubation with and without prior injection of lidocaine. Anesthesiology 51, 171–173 (1979).
doi: 10.1097/00000542-197908000-00020
pubmed: 453622
Dyson, A., Isaac, P. A., Pennant, J. H., Giesecke, A. H. & Lipton, J. M. Esmolol attenuates cardiovascular responses to extubation. Anesth. Analg. 71, 675–678 (1990).
doi: 10.1213/00000539-199012000-00017
pubmed: 1978612
Clarke, J. M., Hamer, J., Shelton, J. R., Taylor, S. & Venning, G. R. The rhythm of the normal human heart. Lancet 308, 508–512 (1976).
doi: 10.1016/S0140-6736(76)90801-1
Sagie, A., Larson, M. G., Goldberg, R. J., Bengtson, J. R. & Levy, D. An improved method for adjusting the QT interval for heart rate (the Framingham Heart Study). Am. J. Cardiol. 70, 797–801 (1992).
doi: 10.1016/0002-9149(92)90562-D
pubmed: 1519533
Opthof, T. The normal range and determinants of the intrinsic heart rate in man. Cardiovasc. Res. 45, 177–184 (2000).
doi: 10.1016/S0008-6363(99)00322-3
pubmed: 10841627