7925
document
Small-dose selective spinal anesthesia for short-duration outpatient laparoscopy : recovery characteristics compared with desflurane anesthesia . UNLABELLED We conducted a randomized controlled trial to compare the recovery characteristics of selective spinal anesthesia ( SSA ) and desflurane anesthesia ( DES ) in outpatient gynecological laparoscopy . Twenty ASA physical status I patients undergoing gynecological laparoscopy were randomized to receive either SSA with lidocaine 10 mg + sufentanil 10 microg or general anesthesia with DES and N ( 2 ) O. Intraoperative conditions , recovery times , postanesthesia recovery scores , and postoperative outcomes were recorded . Intraoperative conditions were comparable in both groups . All patients in the SSA group were awake and oriented at the end of surgery , whereas patients in the DES group required 7 +/- 2 min for extubation and orientation . SSA patients had a significantly shorter time to straight leg raising ( 3 +/- 1 min versus 9 +/- 4 min ; P < 0.0001 ) and to ambulation ( 3 +/- 0.9 min versus 59 +/- 16 min ; P < 0.0001 ) compared with the DES group . SSA patients had significantly less postoperative pain than DES patients ( P < 0.05 ) . We concluded that SSA was an effective alternative to DES for outpatient gynecological laparoscopy . IMPLICATIONS This study compared the use of a desflurane general anesthetic to a small-dose spinal anesthetic in ambulatory gynecological laparoscopy . Using the spinal technique , patients can walk from the operating room table to a stretcher on completion of surgery . Their recovery time was similar to that of the desflurane group .
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Intervention_Pharmacological
spinal anesthesia
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Intervention_Pharmacological
desflurane anesthesia
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Intervention_Pharmacological
selective spinal anesthesia ( SSA )
7929
Intervention_Pharmacological
desflurane anesthesia ( DES )
7930
Intervention_Surgical
gynecological laparoscopy
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Intervention_Pharmacological
SSA
7932
Intervention_Pharmacological
lidocaine 10 mg + sufentanil 10 microg
7933
Intervention_Pharmacological
general anesthesia with DES and N ( 2 ) O.
7934
Intervention_Pharmacological
SSA
7935
Intervention_Pharmacological
DES
7936
Intervention_Pharmacological
SSA
7937
Intervention_Pharmacological
DES
7938
Intervention_Pharmacological
SSA
7939
Intervention_Pharmacological
DES
7940
Intervention_Pharmacological
DES
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Intervention_Pharmacological
desflurane
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Intervention_Pharmacological
desflurane
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Outcome_Physical
Intraoperative conditions , recovery times , postanesthesia recovery scores , and postoperative outcomes
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Outcome_Physical
shorter time to straight leg raising
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Outcome_Physical
ambulation
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Outcome_Pain
postoperative pain
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Outcome_Other
recovery time
7948
Participant_Sample-size
Twenty
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Participant_Condition
ASA physical status I