Short Stature, Osteoarthritis
Conditions
Keywords
Total intravenous anesthesia, desflurane, QoR-40, correctional tibial osteotomy
Brief summary
The effect of total intravenous anesthesia (TIVA) versus inhalational anesthesia on the quality of recovery from surgery has been reported in several different types of operations. The Quality of Recovery 40 (QoR-40) questionnaire is designed multi-dimensionally to assess the degree of recovery after anesthesia and surgery, and has been validated in previous studies. The present study aims to compare the quality of recovery with the QoR-40 questionnaire, in patients undergoing correctional tibial osteotomy under general anesthesia with either TIVA with propofol or inhalational anesthesia with desflurane.
Interventions
Anesthesia is induced and maintained by effect-site target controlled infusion of propofol and remifentanil
Anesthesia is induced and maintained with desflurane and remifentanil
Sponsors
Study design
Eligibility
Inclusion criteria
1\. Adult patients over the age of 19 scheduled for cosmetic lower limg lengthening for short stature, or correctional tibial osteotomy for osteoarthritis
Exclusion criteria
1. Patient refusal 2. Patients with altered mental status 3. Ejection fraction under 55% 4. Recent MI, CVA, or major cardiovascular surgery 5. 3rd degree AV block, 2nd degree AV block with P:QRS ration greater than 3:1 6. Hemodynamically unstable patients requiring vasopressors or oxygen therapy 7. Febrile patients 8. Patients with decreased renal function (serum Cr \> 0.1 mg/dL) 9. Patients with known allergies to propofol 10. Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| QoR-40 score | 24 hours after surgery |
Secondary
| Measure | Time frame |
|---|---|
| QoR-40 score | preoperative period to 48 hours after surgery |
Countries
South Korea