26858
document
Recovery after prolonged anaesthesia for acoustic neuroma surgery : desflurane versus isoflurane . In this study , 33 patients were randomly assigned to receive desflurane ( D ) or isoflurane ( I ) for acoustic neuroma surgery . The time from end of the procedure to spontaneous breathing , extubation , eye-opening , hand-squeezing to command , and ability to state name , birthdate and phone number were recorded . The Steward recovery score was also recorded every five minutes during the first 20 minutes postoperatively and then every 10 to 15 minutes . Groups were similar regarding patient characteristics , depth of anaesthesia , sufentanil total dose , anaesthesia duration ( D : 349.1 +/- 19.1 min ; I : 349.2 +/- 22.9 min ) , haemodynamic/respiratory parameters , and surgical conditions ( assessed by a bleeding score ) . The emergence time in the D group was significantly faster than the I group ( D : 14.9 +/- 2.4 min vs I : 29.2 +/- 2.4 min for eye-opening ) . Full recovery also occurred earlier in the D group ( D : 22.1 +/- 3.1 min vs I : 37.6 +/- 4.0 min , P < 0.005 for stating name ) . Steward recovery scores were also better during the first postoperative hour in the D group ( D : 40 min vs I : 90 min , P < 0.005 for 100 % of patients with Steward score of 6 ) . The results indicate that desflurane is associated with similar operating conditions and faster postoperative recovery following acoustic neuroma surgery . The faster recovery following desflurane may be desirable after long surgical procedures , enabling the patient 's full cooperation and facilitating early diagnosis of any potential neurological deficit .
26859
Intervention_Pharmacological
desflurane
26860
Intervention_Pharmacological
isoflurane
26861
Intervention_Pharmacological
desflurane
26862
Intervention_Pharmacological
isoflurane
26863
Intervention_Surgical
acoustic neuroma surgery
26864
Outcome_Physical
Recovery
26865
Outcome_Physical
emergence time
26866
Outcome_Physical
Full recovery
26867
Outcome_Physical
Steward recovery scores
26868
Outcome_Physical
postoperative recovery
26869
Outcome_Physical
recovery
26870
Participant_Condition
prolonged anaesthesia
26871
Participant_Condition
acoustic neuroma surgery
26872
Participant_Sample-size
33
26873
Participant_Condition
acoustic neuroma surgery
26874
Participant_Condition
acoustic neuroma