Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: While some evidence indicates that propofol-based anesthesia has less postoperative pain than sevoflurane-based anesthesia, these results are controversial. We compared acute postoperative pain intensity and opioid consumption after total shoulder arthroplasty between propofol-remifentanil (PR) and sevoflurane-remifentanil (SR) anesthesia. Methods: Among 48 patients undergoing shoulder arthroscopic surgery anesthetized with PR or SR, postoperative pain intensity was assessed at 30 minutes and at 2, 6, 12, and 24 hours. The total patient-controlled analgesia volume and number of patients requiring rescue analgesics were assessed. Results: No significant difference in postoperative pain intensity was observed between the two groups. Postoperative opioid consumption and analgesic requirements were also comparable in the first 24 hours after surgery. Conclusion: PR and SR anesthesia for shoulder arthroscopic surgery provide comparable postoperative analgesia results.
Abstract
Background: While some evidence indicates that propofol-based anesthesia has less postoperative pain than sevoflurane-based anesthesia, these results are controversial. We compared acute postoperative pain intensity and opioid consumption after total shoulder arthroplasty between propofol-remifentanil (PR) and sevoflurane-remifentanil (SR) anesthesia. Methods: Among 48 patients undergoing shoulder arthroscopic surgery anesthetized with PR or SR, postoperative pain intensity was assessed at 30 minutes and at 2, 6, 12, and 24 hours. The total patient-controlled analgesia volume and number of patients requiring rescue analgesics were assessed. Results: No significant difference in postoperative pain intensity was observed between the two groups. Postoperative opioid consumption and analgesic requirements were also comparable in the first 24 hours after surgery. Conclusion: PR and SR anesthesia for shoulder arthroscopic surgery provide comparable postoperative analgesia results.
참고문헌 (29)
- Wu CL, "Treatment of acute postoperative pain", Lancet, 377, pp.2215~2225 (2011)
- Cheng SS, "Anesthesia matters : patients anesthetized with propofol have less postoperative pain than those anesthetized with isoflurane", Anesth Analg, 106, pp.264~269 (2008)
- Li M, "Propofol reduces early post-operative pain after gynecological laparoscopy", Acta Anaesthesiol Scand, 56, pp.368~375 (2012)
- Fassoulaki A, "Postoperative pain and analgesic requirements after anesthesia with sevoflurane, desflurane or propofol", Anesth Analg, 107, pp.1715~1719 (2008)
- Pokkinen SM, "The effects of propofol vs. sevoflurane on post-operative pain and need of opioid", Acta Anaesthesiol Scand, 58, pp.980~985 (2014)
- 신서경, "Finding the ‘Ideal’ Regimen for Fentanyl-Based Intravenous Patient-Controlled Analgesia: How to Give and What to Mix?", Yonsei Medical Journal, 55(3), pp.800~806 (2014), 연세대학교의과대학[DOI]
- Izquierdo R, "Treatment of glenohumeral osteoarthritis", J Am Acad Orthop Surg, 18, pp.375~382 (2010)
- Rathmell JP, "Acute post-surgical pain management : a critical appraisal of current practice, December 2-4, 2005", Reg Anesth Pain Med, 31(4 Suppl 1), pp.1~42 (2006)
- Hansen CA, "Chronic use of opioids before and after total knee arthroplasty : a retrospective cohort study", J Arthroplasty, 32, pp.811~817 (2017)
- Ilfeld BM, "Joint range of motion after total shoulder arthroplasty with and without a continuous interscalene nerve block : a retrospective, case-control study", Reg Anesth Pain Med, 30, pp.429~433 (2005)
- Antognini JF, "Propofol directly depresses lumbar dorsal horn neuronal responses to noxious stimulation in goats", Can J Anaesth, 47, pp.273~279 (2000)
- Jewett BA, "Propofol and barbiturate depression of spinal nociceptive neurotransmission", Anesthesiology, 77, pp.1148~1154 (1992)
- Goldstein FJ, "Adjuncts to opioid therapy", J Am Osteopath Assoc, 102(9 Suppl 3), pp.S15~21 (2002)
- Holtman JR Jr, "Modification of morphine analgesia and tolerance by flumazenil in male and female rats", Eur J Pharmacol, 470, pp.149~156 (2003)
- Ogurlu M, "Comparison of the effect of propofol and sevoflurane anaesthesia on acute and chronic postoperative pain after hysterectomy", Anaesth Intensive Care, 42, pp.365~370 (2014)
- Freye E, "No difference in electroencephalographic power spectra or sensory-evoked potentials in patients anaesthetized with desflurane or sevoflurane", Eur J Anaesthesiol, 21, pp.373~378 (2004)
- Yeo ST, "Analgesia with sevoflurane during labour : I. Determination of the optimum concentration", Br J Anaesth, 98, pp.105~109 (2007)
- Hao S, "Sevoflurane suppresses noxious stimulus-evoked expression of Fos-like immunoreactivity in the rat spinal cord via activation of endogenous opioid systems", Life Sci, 71, pp.571~580 (2002)
- Rowley TJ, "The role of adrenergic and cholinergic transmission in volatile anesthetic-induced pain enhancement", Anesth Analg, 100, pp.991~995 (2005)
- Möllhoff T, "Comparative efficacy and safety of remifentanil and fentanyl in ‘fast track’ coronary artery bypass graft surgery : a randomized, double-blind study", Br J Anaesth, 87, pp.718~726 (2001)
- Johansen JW, "Clinical impact of hypnotic-titration guidelines based on EEG bispectral index(BIS)monitoring during routine anesthetic care", J Clin Anesth, 12, pp.433~443 (2000)
- Angst MS, "Short-term infusion of the mu-opioid agonist remifentanil in humans causes hyperalgesia during withdrawal", Pain, 106, pp.49~57 (2003)
- Guignard B, "Acute opioid tolerance : intraoperative remifentanil increases postoperative pain and morphine requirement", Anesthesiology, 93, pp.409~417 (2000)
- Orser BA, "Inhibition by propofol(2, 6 di-isopropylphenol)of the N-methyl-D-aspartate subtype of glutamate receptor in cultured hippocampal neurones", Br J Pharmacol, 116, pp.1761~1768 (1995)
- Criswell HE, "Macrokinetic analysis of blockade of NMDA-gated currents by substituted alcohols, alkanes and ethers", Brain Res, 1015, pp.107~113 (2004)
- Hollmann MW, "Modulation of NMDA receptor function by ketamine and magnesium. Part II : interactions with volatile anesthetics", Anesth Analg, 92, pp.1182~1191 (2001)
- Shin SW, "Maintenance anaesthetics during remifentanil-based anaesthesia might affect postoperative pain control after breast cancer surgery", Br J Anaesth, 105, pp.661~667 (2010)
- Kotani Y, "The experimental and clinical pharmacology of propofol, an anesthetic agent with neuroprotective properties", CNS Neurosci Ther, 14, pp.95~106 (2008)
- Franck M, "Documentation of post-operative nausea and vomiting in routine clinical practice", J Int Med Res, 38, pp.1034~1041 (2010)
