Operating room throughput after total intravenous anesthesia with propofol compared with desflurane anesthesia in ophthalmology surgery: A retrospective comparative study

A retrospective comparative study to compare the anesthesia-related times that comprise a patient’s hospital stay and postoperative nausea and vomiting following ophthalmology surgery in adult patients who received different anesthesia techniques, TIVA with propofol or desflurane anesthesia.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12613000593730

Enrollment

1405

Registered

2013-05-27

Start date

2010-01-01

Completion date

2011-12-30

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

For surgical cases with general anesthesia, components of nonsurgical operating room (OR) time include induction (arrival of patient in the OR until the start of positioning), extubation (dressing on patient to extubation), and OR exit. The interval between the end of surgery and extubation (emergence time) is of special interest to anesthesia care providers and companies because it is affected by anesthetic agents. In Taiwan, a new system of Diagnosis Related Groups (DRG) has taken its part in hospital billing service since 2010. This means that the previous billing system will not be valid for current anesthesia cost in the OR any more. Instead, one sum payment one case, selection of the anesthetic technique has to be determined: cheaper agents and least possible anesthesia-controlled time to remain competitive in the operating field. Total intravenous anesthesia (TIVA) via target controlled infusion (TCI) system incorporating the combined use of propofol and remifentanil has indeed been shown to provide more rapid emergence than other anesthesia techniques. In our previous study, we found patients undergoing prolonged procedure recover faster after TIVA than after volatile anesthesia. To evaluate potential resources for reducing time in the OR, we performed a retrospective study to compare anesthesia-related times following ophthalmology (OPH) surgery in adult patients who received different anesthesia techniques, TIVA with propofol or desflurane anesthesia.

Interventions

This retrospective comparative study was compared the anesthesia-related times that comprise a patient’s hospital stay and postoperative nausea and vomiting following ophthalmology surgery in adult patients who received different anesthesia techniques, TIVA with propofol or desflurane anesthesia at Tri-Service General Hospital. Electronic/paper medical records of all the patients were collected and reviewed from Jan. 2010 to Dec. 2011.

Eligibility

Sex/Gender

All

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

All adult patients who underwent ophthalmology surgery at Tri-Service General Hospital and received TIVA with propofol or desflurane anesthesia from Jan. 2010 to Dec. 2011.

Exclusion criteria

Patients were excluded if they met any of the following criteria: data missing, pediatric patients and patients receiving sevoflurane or propofol combined inhalation anesthesia.

Outcome results