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Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane

Desflurane is the most pungent of the currently used volatile anesthetics. We assessed whether the incidence of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway is higher with desflurane than with sevoflurane as maintenance anesthetic. We ret...

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Autores principales: No, Hyun-Joung, Koo, Bon-Wook, Oh, Ah-Young, Seo, Kwang-Suk, Na, Hyo-Seok, Ryu, Jung-Hee, Lee, Soo-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956836/
https://www.ncbi.nlm.nih.gov/pubmed/27428242
http://dx.doi.org/10.1097/MD.0000000000004273
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author No, Hyun-Joung
Koo, Bon-Wook
Oh, Ah-Young
Seo, Kwang-Suk
Na, Hyo-Seok
Ryu, Jung-Hee
Lee, Soo-Won
author_facet No, Hyun-Joung
Koo, Bon-Wook
Oh, Ah-Young
Seo, Kwang-Suk
Na, Hyo-Seok
Ryu, Jung-Hee
Lee, Soo-Won
author_sort No, Hyun-Joung
collection PubMed
description Desflurane is the most pungent of the currently used volatile anesthetics. We assessed whether the incidence of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway is higher with desflurane than with sevoflurane as maintenance anesthetic. We retrospectively reviewed and analyzed the electronic medical records of consecutive children 1 to 15 years of age who underwent general anesthesia via a supraglottic airway at Seoul National University Bundang Hospital between June 2013 and June 2015. The patients were assigned to the sevoflurane or desflurane group according to the anesthetic used. The characteristics of the patients were compared. The primary outcome variable was the incidence of upper respiratory events. The incidence of upper respiratory events in the 3439 evaluated patients was 0.43% (12/2777) in the sevoflurane group and 0.30% (2/662) in the desflurane group (P = 0.75; odds ratio = 0.69 [95% confidence interval = 0.16–3.13]). The difference between the 2 groups was not significant. Compared with sevoflurane, desflurane does not increase the risk of perioperative upper respiratory events in children receiving general anesthesia via a supraglottic airway.
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spelling pubmed-49568362016-08-02 Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane No, Hyun-Joung Koo, Bon-Wook Oh, Ah-Young Seo, Kwang-Suk Na, Hyo-Seok Ryu, Jung-Hee Lee, Soo-Won Medicine (Baltimore) 3300 Desflurane is the most pungent of the currently used volatile anesthetics. We assessed whether the incidence of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway is higher with desflurane than with sevoflurane as maintenance anesthetic. We retrospectively reviewed and analyzed the electronic medical records of consecutive children 1 to 15 years of age who underwent general anesthesia via a supraglottic airway at Seoul National University Bundang Hospital between June 2013 and June 2015. The patients were assigned to the sevoflurane or desflurane group according to the anesthetic used. The characteristics of the patients were compared. The primary outcome variable was the incidence of upper respiratory events. The incidence of upper respiratory events in the 3439 evaluated patients was 0.43% (12/2777) in the sevoflurane group and 0.30% (2/662) in the desflurane group (P = 0.75; odds ratio = 0.69 [95% confidence interval = 0.16–3.13]). The difference between the 2 groups was not significant. Compared with sevoflurane, desflurane does not increase the risk of perioperative upper respiratory events in children receiving general anesthesia via a supraglottic airway. Wolters Kluwer Health 2016-07-18 /pmc/articles/PMC4956836/ /pubmed/27428242 http://dx.doi.org/10.1097/MD.0000000000004273 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 3300
No, Hyun-Joung
Koo, Bon-Wook
Oh, Ah-Young
Seo, Kwang-Suk
Na, Hyo-Seok
Ryu, Jung-Hee
Lee, Soo-Won
Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title_full Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title_fullStr Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title_full_unstemmed Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title_short Retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: A comparison of sevoflurane and desflurane
title_sort retrospective cohort investigation of perioperative upper respiratory events in children undergoing general anesthesia via a supraglottic airway: a comparison of sevoflurane and desflurane
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956836/
https://www.ncbi.nlm.nih.gov/pubmed/27428242
http://dx.doi.org/10.1097/MD.0000000000004273
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