The effect of anesthetic technique on recovery after orthognathic surgery: a retrospective audit.
The effect of anesthetic technique on recovery after orthognathic surgery: a retrospective audit.
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DOI：
10.2344/11-10.1
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发表时间：
2012-01-01
影响因子：
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通讯作者：
Dhariwal, Daljit K
中科院分区：
文献类型：
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作者：
Chegini, Soudeh;Johnston, Kevin D;Dhariwal, Daljit K
我们审计了51例患者谁经历了正颌颌面外科手术在一个单一的中心恢复的特点。在手术后的前4小时内，使用静脉丙泊酚和瑞芬太尼维持麻醉的患者（n =21）的疼痛评分显著高于使用挥发性吸入剂和长效阿片类药物维持麻醉的患者（n= 30）（P = 0.016）。 前一组的恢复时间较短的趋势不显著，而术后早期阿片类药物使用、血流动力学参数或术后恶心和呕吐无差异。鉴于我们的数据是回顾性收集的，并且无法控制潜在的混杂因素，我们谨慎地解释结果。尽管有这些局限性，我们相信这是第一份比较不同阿片类药物麻醉方案对正颌手术早期恢复影响的报告，我们相信这份报告可以作为对照研究的起点。
We audited the recovery characteristics of 51 patients who had undergone orthognathic maxillofacial surgery at a single center. Patients whose anesthesia had been maintained with intravenous propofol and remifentanil (n = 21) had significantly higher pain scores during the first 4hours after surgery than those whose anesthesia was maintained with volatile inhalational agents and longer-acting opioids (n = 30) (P = .016). There was a nonsignificant trend towards shorter recovery times in the former group, while there were no differences in early postoperative opioid usage, hemodynamic parameters, or postoperative nausea and vomiting . Given that our data were collected retrospectively and without the ability to control for potential confounders, we interpret the results with caution. Notwithstanding these limitations, we believe this is the first report comparing the effects of different opioid-based anesthetic regimens on early recovery from orthognathic surgery, and we believe this report may be used as the starting point for a controlled study.