Abstract:
STUDY OBJECTIVES:The aim of the present study was to assess the quality of recovery from anesthesia in patients undergoing laparoscopic cholecystectomy (LC) under total intravenous anesthesia, who received either methadone or morphine for post-surgical analgesia by means of questionnaire Quality of Recovery-40 (QoR-40). DESIGN:Prospective Randomized Clinical Trial. SETTING:The setting was at an operating room, postoperative recovery area and hospital ward. PATIENTS:Seventy patients who underwent LC under remifentanil-based anesthesia were randomly assigned to receive methadone 0.1 mg kg-1 or morphine 0.1 mg kg-1. MEASUREMENTS:The primary outcome was the quality of recovery, using the Quality of Recovery Questionnaire (QoR-40). Secondary outcomes included time to eye opening, the occurrence of nausea and vomiting, pain score, use of supplemental analgesics, and PACU length of stay. MAIN RESULTS:No differences were observed in the total or individual QoR-40 dimension scores. During the PACU stay, the occurrence of PONV and pain scores were similar between groups. Opioid consumption (p < 0.02) and the level of sedation (p < 0.01) were higher in the morphine group. There were no differences in the amount of time required to achieve PACU discharge criteria. The frequency of nausea or emesis, the severity of pain, and tramadol consumption were comparable between both groups while on the ward. CONCLUSIONS:Pain scores and the Quality of Recovery did not differ between patients who underwent LC under total intravenous anesthesia, who received either methadone or morphine for post-surgical analgesia.
journal_name
J Clin Anesthjournal_title
Journal of clinical anesthesiaauthors
Moro ET,Lambert MF,Pereira AL,Artioli T,Graicer G,Bevilacqua J,Bloomstone Jdoi
10.1016/j.jclinane.2018.09.031subject
Has Abstractpub_date
2019-03-01 00:00:00pages
64-69eissn
0952-8180issn
1873-4529pii
S0952-8180(18)30591-9journal_volume
53pub_type
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pub_type: 临床试验,杂志文章,随机对照试验
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abstract::A young, healthy adult man exhibited naloxone-reversible, prolonged apnea after a 4-hour infusion of remifentanil, which was used as the opioid component of a general endotracheal anesthetic. Clinical experience and pharmacokinetic simulations indicate that the apnea was clearly atypical. ...
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journal_title:Journal of clinical anesthesia
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journal_title:Journal of clinical anesthesia
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