Intravenous Anesthesia With Bispectral Index Monitoring vs Inhalational Anesthesia for Rhytidoplasty: A Randomized...

Area of Science:

• Anesthesiology
• Surgical Outcomes
• Patient Recovery

Background:

• Minor anesthesia-related adverse effects are common and concerning for patients.
• Intravenous anesthesia protocols have shown promise in reducing postoperative nausea, vomiting, and pain.

Purpose of the Study:

• To compare postoperative outcomes between a combined propofol and ketamine hydrochloride anesthesia with bispectral index monitoring (PKA-BIS) protocol and inhalational anesthesia (IA).
• The study focused on patients undergoing lower rhytidoplasty.

Main Methods:

• A prospective, double-blind, randomized trial involving 30 female patients undergoing rhytidoplasty.
• Outcomes measured included nausea, vomiting, pain, well-being, emergence time, discharge time, and cost, assessed via QOR-40 and VAS questionnaires.

Main Results:

• The PKA-BIS group showed statistically significant reductions in emergence time (29.8 vs 46.0 min) and time to discharge criteria (51.4 vs 66.1 min).
• Trends towards decreased nausea, vomiting, and confusion were observed in the PKA-BIS group, but did not reach statistical significance.
• No significant differences were found in global recovery scores, overall well-being, or pain perception between the groups. Anesthesia costs were similar.

Conclusions:

• The PKA-BIS protocol is a viable alternative to IA for rhytidoplasty.
• Larger studies are needed to confirm the significance of observed trends in reducing postoperative adverse events and pain.