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Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial

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-remifentan...

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Autores principales: Choi, Eun Kyung, Kim, Saeyoung, Kim, Do young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Yeungnam Medical Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390275/
https://www.ncbi.nlm.nih.gov/pubmed/35350090
http://dx.doi.org/10.12701/jyms.2022.00129
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author Choi, Eun Kyung
Kim, Saeyoung
Kim, Do young
author_facet Choi, Eun Kyung
Kim, Saeyoung
Kim, Do young
author_sort Choi, Eun Kyung
collection PubMed
description 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.
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spelling pubmed-103902752023-08-01 Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial Choi, Eun Kyung Kim, Saeyoung Kim, Do young J Yeungnam Med Sci Original Article 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. Journal of Yeungnam Medical Science 2022-03-30 /pmc/articles/PMC10390275/ /pubmed/35350090 http://dx.doi.org/10.12701/jyms.2022.00129 Text en Copyright © 2023 Yeungnam University College of Medicine, Yeungnam University Institute of Medical Science https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Choi, Eun Kyung
Kim, Saeyoung
Kim, Do young
Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title_full Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title_fullStr Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title_full_unstemmed Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title_short Effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
title_sort effects of propofol-remifentanil versus sevoflurane-remifentanil on acute postoperative pain after total shoulder arthroplasty: a randomized trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390275/
https://www.ncbi.nlm.nih.gov/pubmed/35350090
http://dx.doi.org/10.12701/jyms.2022.00129
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