Related Experiment Videos
Fast-tracking after immersion lithotripsy: general anesthesia versus monitored anesthesia care
M Coloma1, J W Chiu, P F White
1Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center at Dallas, 75235-9068, USA.
Anesthesia and Analgesia
|June 27, 2000
Summary
General anesthesia (GA) with desflurane offers better conditions for outpatient immersion lithotripsy than monitored anesthesia care (MAC) with propofol. GA reduced opioid use and improved patient stability without delaying discharge.
Area of Science:
- Anesthesiology
- Surgical Procedures
Background:
- Monitored anesthesia care (MAC) and general anesthesia (GA) are options for immersion lithotripsy.
- Comparing propofol-based MAC with desflurane-based GA is crucial for outpatient procedures.
Purpose of the Study:
- To compare the efficacy and safety of propofol-based MAC versus desflurane-based GA for outpatient immersion lithotripsy.
Main Methods:
- 100 subjects were randomized to either MAC (propofol, remifentanil) or GA (propofol, remifentanil, desflurane, nitrous oxide).
- Anesthetic depth, opioid requirements, patient movements, desaturation episodes, and recovery metrics were assessed.
Main Results:
- General anesthesia (GA) reduced opioid requirements, patient movements, and desaturation episodes compared to MAC.
- While the GA group had a longer return to full alertness, discharge times were comparable between groups.
Conclusions:
- Desflurane-based GA provides superior conditions for outpatient immersion lithotripsy compared to propofol-based MAC.
- GA is an acceptable alternative to MAC for this procedure, without impacting discharge efficiency.