Anaesthesia for geriatric oesophagoscopy: isoflurane vs. alfentanil-methohexitone vs. propofol. 1992

M Oikkonen
Department of Anaesthesia, Tampere University Hospital, Finland.

Twenty-one geriatric patients (68-86 years) undergoing 30 oesophagoscopic surgical procedures received either isoflurane (mean duration 40 min), alfentanil (-methohexitone) (30 min), or propofol (30 min) anaesthesia supplemented with nitrous oxide. Each of the three study groups comprised ten patients. The times elapsing from the end of anaesthesia until the patients became irritated by the endotracheal tube, and until their tracheas were extubated, appeared similar for the groups, as did the rapidity of awakening and the ensuing grade of consciousness. During anaesthesia, spontaneous ventilation prevailed in the isoflurane group, but at recovery no inter-group differences in respiratory rate were found. There were few statistically significant differences between the groups in arterial pressure or heart rate. Only propofol prevented temporary increases in heart rate and arterial pressure.

UI MeSH Term Description Entries
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D008723 Methohexital An intravenous anesthetic with a short duration of action that may be used for induction of anesthesia. Methohexitone,Brevimytal Natrium,Brevital,Brietal,Brietal-Sodium,Methohexital Sodium,Methohexital, Monosodium Salt,Brietal Sodium,Monosodium Salt Methohexital,Natrium, Brevimytal,Sodium, Methohexital
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004945 Esophagoscopy Endoscopic examination, therapy or surgery of the esophagus. Esophagoscopic Surgical Procedures,Surgical Procedures, Esophagoscopic,Esophagoscopic Surgery,Surgery, Esophagoscopic,Esophagoscopic Surgeries,Esophagoscopic Surgical Procedure,Esophagoscopies,Procedure, Esophagoscopic Surgical,Procedures, Esophagoscopic Surgical,Surgeries, Esophagoscopic,Surgical Procedure, Esophagoscopic
D005853 Geriatrics The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility. Gerontology
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D000769 Anesthesia, Inhalation Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. Insufflation Anesthesia,Anesthesia, Insufflation,Inhalation Anesthesia
D000771 Anesthesia, Intravenous Process of administering an anesthetic through injection directly into the bloodstream. Anesthesias, Intravenous,Intravenous Anesthesia,Intravenous Anesthesias
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