Related Experiment Video
Updated: May 19, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Intravenous versus inhalational maintenance anaesthesia on postoperative recovery parameters after general
Leena Rohilla1, Ritu Sharma2, Rajeev Lochan Tiwari2
1Department of Anaesthesia, Maharishi Chyawan Medical College, Koriawas Narnaul, Haryana, India.
None:
Total intravenous anaesthesia (TIVA) using propofol-remifentanil versus sevoflurane maintenance affects postoperative recovery, PONV and patient outcomes in laparoscopic surgery, though evidence varies. Hence, this randomised trial compared TIVA (n=60) versus sevoflurane (n=60) in 120 ASA I-III adults undergoing elective laparoscopic cholecystectomy with standardised protocols. TIVA accelerated extubation (7.4 ±2.1 vs 9.6±2.5 min; p<0.001), Aldrete ≥9 recovery (23.1±4.8 vs 29.2±6.1 min; p<0.001) and shortened PACU stay (40 [35-45] vs 50 [42-60] min; p=0.002). TIVA reduced PONV incidence (20% vs 38.3%; p=0.03) with less rescue antiemetic use, while pain scores and opioid requirements stayed comparable between groups. Propofol-remifentanil TIVA optimises early recovery, lowers PONV and boosts 24-hour QoR-15 scores versus sevoflurane, positioning it as the superior choice for enhanced postoperative outcomes.
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