Fri, Jan 31, 2025
Volume 1, Issue 2 (11-2012)
ABS 2012, 1(2): 0-0 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hassani V, Alimian M, Farhadi M, Zaman B, Mohseni M. Surgeon Satisfaction During Endoscopic Management of Cerebrospinal
Fluid Rhinorrhea: A Comparison Between Propofol-Remifentanil and
Isoflurane-Remifentanil Anesthesia. ABS 2012; 1 (2)
URL: http://annbsurg.iums.ac.ir/article-1-246-en.html
URL: http://annbsurg.iums.ac.ir/article-1-246-en.html
1- 1 Department of Anesthesiology, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, IR Iran
Abstract: (643 Views)
Background: Surgeon’s depend to a large degree on the amount of blood loss and a clear
view of the surgical field, when conducting endoscopic procedures in order to achieve
satisfactory outcomes. The anesthesiologist’s choice of method for the induction and
maintenance of anesthesia plays a major role in achieving this goal.
Objectives: This study was performed in order to compare the two most well-known
methods in this regard; total intravenous anesthesia (TIVA) and venous inhalational
mixed anesthesia (VIMA).
Patients and Methods: This study included the endoscopic management of 89 patients
with cerebrospinal leakage (CSF leakage) covering a period of nine years (1999-2008) for
whom a subarachnoid injection of fluorescein was first administered, and afterwards
they were maintained under general anesthesia using two distinct methods; propofolremifentanil
versus isoflurane–remifentanil (inhalational or intravenous). During the
operation, hemodynamic indices, blood loss, and surgeon’s satisfaction, were assessed
and compared between the two groups.
Results: Endoscopic management and autografts were successful in repairing anterior
skull defects in 90% of cases. Regarding the surgeon’s satisfaction level, and hemodynamic
stability no significant difference between the two groups was observed (P > 0.01).
Conclusions: Both isoflurane and propofol in combination with remifentanil afford optimal
surgical conditions with regard to hemodynamic parameters and the satisfaction
of the surgeon with the surgical field.
view of the surgical field, when conducting endoscopic procedures in order to achieve
satisfactory outcomes. The anesthesiologist’s choice of method for the induction and
maintenance of anesthesia plays a major role in achieving this goal.
Objectives: This study was performed in order to compare the two most well-known
methods in this regard; total intravenous anesthesia (TIVA) and venous inhalational
mixed anesthesia (VIMA).
Patients and Methods: This study included the endoscopic management of 89 patients
with cerebrospinal leakage (CSF leakage) covering a period of nine years (1999-2008) for
whom a subarachnoid injection of fluorescein was first administered, and afterwards
they were maintained under general anesthesia using two distinct methods; propofolremifentanil
versus isoflurane–remifentanil (inhalational or intravenous). During the
operation, hemodynamic indices, blood loss, and surgeon’s satisfaction, were assessed
and compared between the two groups.
Results: Endoscopic management and autografts were successful in repairing anterior
skull defects in 90% of cases. Regarding the surgeon’s satisfaction level, and hemodynamic
stability no significant difference between the two groups was observed (P > 0.01).
Conclusions: Both isoflurane and propofol in combination with remifentanil afford optimal
surgical conditions with regard to hemodynamic parameters and the satisfaction
of the surgeon with the surgical field.
Type of Study: Original |
Subject:
MIS
Received: 2020/12/24 | Accepted: 2012/11/15 | ePublished: 2012/11/15
Received: 2020/12/24 | Accepted: 2012/11/15 | ePublished: 2012/11/15
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
