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Patient well‐being after general anaesthesia: a prospective, randomized, controlled multi‐centre trial comparing intravenous and inhalation anaesthesia

Hofer, C. K. ; Zollinger, A. ; Büchi, S. ; Klaghofer, R. ; Serafino, D. ; Bühlmann, S. ; Buddeberg, C. ; Pasch, T. ; Spahn, D. R.

In: British Journal of Anaesthesia, 2003, vol. 91, no. 5, p. 631-637

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    Titre
    • Patient well‐being after general anaesthesia: a prospective, randomized, controlled multi‐centre trial comparing intravenous and inhalation anaesthesia
    Auteur
    • Hofer, C. K.. Institute of Anaesthesiology, Triemli City Hospital, Birmensdorferstr. 497, CH‐8063 Zurich, Switzerland.
    • Zollinger, A.. Institute of Anaesthesiology, Triemli City Hospital, Birmensdorferstr. 497, CH‐8063 Zurich, Switzerland.
    • Büchi, S.. Department of Psychosocial Medicine, and
    • Klaghofer, R.. Department of Psychosocial Medicine, and
    • Serafino, D.. Institute of Anaesthesiology, University Hospital, Rämistr. 100, CH‐8091 Zurich, Switzerland
    • Bühlmann, S.. Institute of Anaesthesiology, Triemli City Hospital, Birmensdorferstr. 497, CH‐8063 Zurich, Switzerland.
    • Buddeberg, C.. Department of Psychosocial Medicine, and
    • Pasch, T.. Institute of Anaesthesiology, University Hospital, Rämistr. 100, CH‐8091 Zurich, Switzerland
    • Spahn, D. R.. Institute of Anaesthesiology, University Hospital, Rämistr. 100, CH‐8091 Zurich, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • British Journal of Anaesthesia, 2003, vol. 91, no. 5, p. 631-637. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:294013
    Summary
    Background. The aim of this study was to assess postoperative patient well‐being after total i.v. anaesthesia compared with inhalation anaesthesia by means of validated psychometric tests. Methods. With ethics committee approval, 305 patients undergoing minor elective gynaecologic or orthopaedic interventions were assigned randomly to total i.v. anaesthesia using propofol or inhalation anaesthesia using sevoflurane. The primary outcome measurement was the actual mental state 90 min and 24 h after anaesthesia assessed by a blinded observer using the Adjective Mood Scale (AMS) and the State‐Trait‐Anxiety Inventory (STAI). Incidence of postoperative nausea and vomiting (PONV) and postoperative pain level were determined by Visual Analogue Scale (VAS) 90 min and 24 h after anaesthesia (secondary outcome measurements). Patient satisfaction was evaluated using a VAS 24 h after anaesthesia. Results. The AMS and STAI scores were significantly better 90 min after total i.v. anaesthesia compared with inhalation anaesthesia (P=0.02, P=0.05, respectively), but equal 24 h after both anaesthetic techniques (P=0.90, P=0.78, respectively); patient satisfaction was comparable (P=0.26). Postoperative pain was comparable in both groups 90 min and 24 h after anaesthesia (P=0.11, P=0.12, respectively). The incidence of postoperative nausea was reduced after total i.v. compared with inhalation anaesthesia at 90 min (7 vs 35%, P<0.001), and 24 h (33 vs 52%, P=0.001). Conclusion. Total i.v. anaesthesia improves early postoperative patient well‐being and reduces the incidence of PONV. Br J Anaesth 2003; 91: 631-7