دورية أكاديمية
أعرض في EDS

Impact of general anesthesia on postoperative complications in orthognathic surgery: a retrospective comparison of total intravenous anesthesia versus volatile anesthesia.

التفاصيل البيبلوغرافية
العنوان: Impact of general anesthesia on postoperative complications in orthognathic surgery: a retrospective comparison of total intravenous anesthesia versus volatile anesthesia.
المؤلفون: Aijima R; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan. f8197@cc.saga-u.ac.jp., Miura D; Department of Anesthesiology, Saga Medical Center Koseikan, 400, Nakabaru, Kasemachi, Saga, Japan., Takamori A; Clinical Research Center, Saga University Hospital, 5-1-1 Nabeshima, Saga, Japan., Kamohara A; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan., Danjo A; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan., Sakaguchi Y; Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, Japan., Yamashita Y; Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan.
المصدر: Scientific reports [Sci Rep] 2024 Jul 12; Vol. 14 (1), pp. 16075. Date of Electronic Publication: 2024 Jul 12.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Anesthesia, Intravenous*/adverse effects , Anesthesia, Intravenous*/methods , Anesthesia, General*/adverse effects , Anesthesia, General*/methods , Postoperative Nausea and Vomiting*/epidemiology , Postoperative Nausea and Vomiting*/etiology , Orthognathic Surgical Procedures*/adverse effects , Orthognathic Surgical Procedures*/methods, Humans ; Female ; Male ; Retrospective Studies ; Adult ; Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Orthognathic Surgery/methods ; Young Adult ; Anesthesia, Inhalation/adverse effects ; Anesthesia, Inhalation/methods ; Hemodynamics/drug effects ; Anesthetics, Intravenous/administration & dosage ; Anesthetics, Intravenous/adverse effects ; Osteotomy, Sagittal Split Ramus/adverse effects ; Osteotomy, Sagittal Split Ramus/methods ; Fentanyl/administration & dosage ; Fentanyl/adverse effects
مستخلص: 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.
(© 2024. The Author(s).)
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المشرفين على المادة: 0 (Anesthetics, Intravenous)
UF599785JZ (Fentanyl)
تواريخ الأحداث: Date Created: 20240711 Date Completed: 20240711 Latest Revision: 20240801
رمز التحديث: 20240801
مُعرف محوري في PubMed: PMC11239665
DOI: 10.1038/s41598-024-66926-w
PMID: 38992157
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-024-66926-w