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Desflurane for outpatient general anesthesia in third molar extraction cases
T Bandrowsky1, F E Orr, A A Vorono
1U.S. Army, Fort Sill, OK, USA.
Summary
Desflurane anesthesia offers a rapid recovery and minimal side effects for third molar removal, making it a cost-effective option despite its initial expense. This volatile anesthetic agent provides a satisfactory surgical environment for selected ambulatory patients.
Area of Science:
- Anesthesiology
- Oral Surgery
Background:
- Volatile anesthetic agents are crucial for general anesthesia.
- Desflurane is a newer agent with potential benefits for short procedures.
Purpose of the Study:
- To evaluate desflurane's efficacy in a standardized endotracheal anesthetic technique.
- To assess desflurane for third molar removal in ambulatory patients.
Main Methods:
- Fifty American Society of Anesthesiology (ASA) Class I and II patients received a standardized anesthetic technique.
- Propofol induction, succinylcholine paralysis, and intubation were followed by a desflurane/nitrous oxide/oxygen mixture.
- Key parameters included surgery length, recovery time, and side effect incidence.
Main Results:
- Desflurane is effective as a primary anesthetic for procedures under 1 hour.
- The agent demonstrated decreased recovery time and minimal side effects.
- Potential cost savings may offset the agent's expense.
Conclusions:
- Desflurane anesthesia provides a satisfactory surgical environment for selected patients.
- Rapid postanesthesia recovery and discharge times were observed.
- This technique can lead to reduced overall costs.