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The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery

BACKGROUND: Although the quality of postoperative recovery may be affected by factors, there are few investigations whether the type of anesthesia also affects it. In this single-blinded, prospective, observational study, we compared the quality of postoperative recovery in patients undergoing ortho...

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Autores principales: Doo, A Ram, Kang, Sehrin, Kim, Ye Sull, Lee, Tae-Won, Lee, Jun-Rae, Kim, Dong-Chan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000287/
https://www.ncbi.nlm.nih.gov/pubmed/31597228
http://dx.doi.org/10.4097/kja.19352
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author Doo, A Ram
Kang, Sehrin
Kim, Ye Sull
Lee, Tae-Won
Lee, Jun-Rae
Kim, Dong-Chan
author_facet Doo, A Ram
Kang, Sehrin
Kim, Ye Sull
Lee, Tae-Won
Lee, Jun-Rae
Kim, Dong-Chan
author_sort Doo, A Ram
collection PubMed
description BACKGROUND: Although the quality of postoperative recovery may be affected by factors, there are few investigations whether the type of anesthesia also affects it. In this single-blinded, prospective, observational study, we compared the quality of postoperative recovery in patients undergoing orthopedic forearm surgery under general or regional anesthesia (brachial plexus block). METHODS: Ninety-seven subjects, aged 18–65 years and American Society of Anesthesiologists physical status I or II, undergoing orthopedic forearm surgery, were allocated to general or regional anesthesia group. The quality of postoperative recovery was assessed using a validated Korean version of Quality of Recovery-40 (QoR-40K) questionnaire. Patients were surveyed three times, the day before surgery (baseline) and 1st and 7th day after the surgery, and the scores of both groups were compared. RESULTS: We analyzed 47 and 50 patients in general and regional anesthesia, respectively. The global QoR-40K score and those of each of its five dimensions were not significantly different between the two groups at baseline, 1st and 7th day postoperatively. In two-way RM ANOVA, the global QoR-40K score at postoperative 1st day was significantly lower than that of baseline (P < 0.001) and postoperative 7th day (P < 0.001), respectively, in both general and regional anesthesia groups. However, there was no significant difference at each timepoint between the two groups. CONCLUSIONS: The present study suggests that brachial plexus block with intravenous dexmedetomidine infusion does not improve the quality of postoperative recovery compared to sevoflurane inhalation anesthesia with remifentanil infusion in patients undergoing orthopedic forearm surgery.
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spelling pubmed-70002872020-02-12 The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery Doo, A Ram Kang, Sehrin Kim, Ye Sull Lee, Tae-Won Lee, Jun-Rae Kim, Dong-Chan Korean J Anesthesiol Clinical Research Article BACKGROUND: Although the quality of postoperative recovery may be affected by factors, there are few investigations whether the type of anesthesia also affects it. In this single-blinded, prospective, observational study, we compared the quality of postoperative recovery in patients undergoing orthopedic forearm surgery under general or regional anesthesia (brachial plexus block). METHODS: Ninety-seven subjects, aged 18–65 years and American Society of Anesthesiologists physical status I or II, undergoing orthopedic forearm surgery, were allocated to general or regional anesthesia group. The quality of postoperative recovery was assessed using a validated Korean version of Quality of Recovery-40 (QoR-40K) questionnaire. Patients were surveyed three times, the day before surgery (baseline) and 1st and 7th day after the surgery, and the scores of both groups were compared. RESULTS: We analyzed 47 and 50 patients in general and regional anesthesia, respectively. The global QoR-40K score and those of each of its five dimensions were not significantly different between the two groups at baseline, 1st and 7th day postoperatively. In two-way RM ANOVA, the global QoR-40K score at postoperative 1st day was significantly lower than that of baseline (P < 0.001) and postoperative 7th day (P < 0.001), respectively, in both general and regional anesthesia groups. However, there was no significant difference at each timepoint between the two groups. CONCLUSIONS: The present study suggests that brachial plexus block with intravenous dexmedetomidine infusion does not improve the quality of postoperative recovery compared to sevoflurane inhalation anesthesia with remifentanil infusion in patients undergoing orthopedic forearm surgery. Korean Society of Anesthesiologists 2020-02 2019-10-09 /pmc/articles/PMC7000287/ /pubmed/31597228 http://dx.doi.org/10.4097/kja.19352 Text en Copyright © The Korean Society of Anesthesiologists, 2020 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/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Doo, A Ram
Kang, Sehrin
Kim, Ye Sull
Lee, Tae-Won
Lee, Jun-Rae
Kim, Dong-Chan
The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title_full The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title_fullStr The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title_full_unstemmed The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title_short The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
title_sort effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000287/
https://www.ncbi.nlm.nih.gov/pubmed/31597228
http://dx.doi.org/10.4097/kja.19352
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