A comparison of the recovery times of desflurane and isoflurane in outpatient anesthesia. 1998

L B Rieker, and M P Rieker
Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA.

The low solubility of desflurane has been shown to contribute to faster awakening from anesthesia when compared with other anesthetics in common use. However, research has failed to consistently demonstrate faster discharge times from the postanesthesia care unit following the use of desflurane. This study was undertaken to compare the recovery and discharge times of outpatients undergoing procedures greater than 2 hours in length. Thirty-three patients aged 18 to 70 years were randomized to receive either desflurane or isoflurane following a standard intravenous induction with propofol. Patients received premedication and opioids consistent with institutional practice, and inhalation agents were titrated to effect during anesthetic maintenance. Following surgery, patients were evaluated for time to emergence and time to meeting discharge criteria. The results demonstrated no differences between the emergence or discharge times following desflurane or isoflurane. In addition, measured parameters, such as intraoperative vital signs and postoperative emesis and opioid requirements, were not different between the groups. The use of desflurane as part of a balanced anesthetic technique did not speed the emergence or discharge time when compared with isoflurane.

UI MeSH Term Description Entries
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D008297 Male Males
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077335 Desflurane A fluorinated ether that is used as a volatile anesthetic for maintenance of general anesthesia. 1,2,2,2-Tetrafluoroethyl difluoromethyl ether,I 653,I-653,I653,Suprane
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000556 Ambulatory Surgical Procedures Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter. Ambulatory Surgery,Day Surgery,Office Surgery,Outpatient Surgery,Surgery, Office,Surgery, Outpatient,Ambulatory Surgical Procedure,Procedure, Ambulatory Surgical,Procedures, Ambulatory Surgical,Surgery, Ambulatory,Surgery, Day,Surgical Procedure, Ambulatory,Surgical Procedures, Ambulatory,Ambulatory Surgeries,Day Surgeries,Office Surgeries,Outpatient Surgeries,Surgeries, Ambulatory,Surgeries, Day,Surgeries, Office,Surgeries, Outpatient
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014851 Wakefulness A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli. Wakefulnesses

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