Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-26T16:52:33.676Z Has data issue: false hasContentIssue false
  • English
  • Français

Anaesthetic agents in adult day case surgery

Published online by Cambridge University Press:  02 June 2005

B. J. Pollard ,
R. A. Elliott  and
E. W. Moore
B. J. Pollard
Affiliation:
University of Manchester, Manchester, UK
R. A. Elliott
Affiliation:
University of Manchester, Manchester, UK
E. W. Moore
Affiliation:
University of Liverpool, Liverpool, UK
Get access

Extract

Summary

This study reports a review of all comparative published studies of adult day case anaesthesia in the English language up to December 2000. Ten databases were searched using appropriate keywords and data were extracted in a standardized fashion. One hundred-and-one published studies were examined. Recovery measurements were grouped as early, intermediate, late, psychomotor and adverse effects. With respect to induction of anaesthesia, propofol was superior to methohexital, etomidate and thiopental, but equal to sevoflurane and desflurane. Desflurane and sevoflurane were both superior to thiopental. There was no detectable difference between sevoflurane and isoflurane. With respect to the maintenance of anaesthesia, isoflurane and halothane were the worst. There were no significant differences between propofol, desflurane, sevoflurane and enflurane. Propofol is the induction agent of choice in day case patients. The use of a propofol infusion and avoidance of nitrous oxide may help to reduce postoperative nausea and vomiting.

Keywords

ANAESTHESIAANAESTHETICS INHALATIONAL, halothane, isoflurane, enflurane, desflurane, sevoflurane, nitrous oxideANAESTHETICS INTRAVENOUS, propofolSURGICAL PROCEDURES, OPERATIVE, ambulatory surgical procedures
Type
Review
Information
European Journal of Anaesthesiology , Volume 20 , Issue 1 , January 2003 , pp. 1 - 9
Copyright
© 2003 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guidelines for Day Case Surgery. London, UK: Royal College of Surgeons of England, 1992.
Schultz LS. Cost analysis of office surgery clinic with comparison to hospital outpatient facilities for laparoscopic procedures. Int Surg 1994; 79: 273–277.Google Scholar
NHS Centre for Reviews and Dissemination. Undertaking Systematic Reviews of Research on Effectiveness. CRD Report No. 4. York, UK: University of York, 1996.
Chittleborough MC, Osborne GA, Rudkin GE, Vickers D, Leppard PI. Double-blind comparison of patient recovery after induction with propofol/thiopentone for day-case relaxant general anaesthesia. Anaesth Intens Care 1992; 20: 169–173.Google Scholar
Gupta A, Larsen LE, Sjoberg F, Lindh ML, Lennmarken C. Thiopentone or propofol for induction of isoflurane-based anaesthesia for ambulatory surgery. Acta Anaesthesiol Scand 1992; 36: 670–674.Google Scholar
Kashtan H, Edelist G, Mallon J, Kapala D. Comparative evaluation of propofol and thiopentone for total intravenous anaesthesia. Can J Anaesth 1990; 37: 170–176.Google Scholar
Korttila K, Nuott EJ, Lichtor L, et al. Clinical recovery and psychomotor function after brief anaesthesia with propofol or thiopental. Anesthesiology 1992; 76: 676–681.Google Scholar
Korttila K, Ostman P, Faure E, et al. Randomized comparison of recovery after propofol–nitrous oxide versus thiopentone–isoflurane–nitrous oxide anaesthesia in patients undergoing ambulatory surgery. Acta Anaesthesiol Scand 1990; 34: 400–403.Google Scholar
Lim BL, Low TC. Total intravenous anaesthesia versus inhalational anaesthesia for dental day surgery. Anaesth Intens Care 1992; 20: 475–478.Google Scholar
Nielsen J, Jenstrup M, Gerdes NU, et al. Awakening and recovery of simple cognitive and psychomotor functions 2 h after anaesthesia for day-case surgery – total intravenous anaesthesia with propofol–alfentanil versus thiopentone– alfentanil. Eur J Anaesthesiol 1991; 8: 219–225.Google Scholar
Price ML, Walmsley A, Swaine C, Ponte J. Comparison of a total intravenous anaesthetic technique using a propofol infusion, with an inhalational technique using enflurane for day case surgery. Anaesthesia 1988; 43: 84–87.Google Scholar
Ryom C, Flarup M, Suadicani P, et al. Recovery following thiopentone or propofol anaesthesia assessed by computerized coordination measurements. Acta Anaesthesiol Scand 1992; 36: 540–545.Google Scholar
Ding Y, Fredman B, White PF. Recovery following outpatient anesthesia: use of enflurane versus propofol. J Clin Anesth 1993; 5: 447–450.Google Scholar
Sanders LD, Clyburn PA, Rosen M, Robinson JO. Propofol in short gynaecological procedures. Anaesthesia 1991; 46: 451–455.Google Scholar
Segatto A, Vincenti E, Valenti S, et al. TIVA with propofol vs thiopental–nitrous oxide anaesthesia for uterine cerclage. Acta Anaesthesiol Italica 1993; 44: 59–65.Google Scholar
Bassil A, Jabbour-Khoury S, Baraka A. Propofol versus thiopentone for induction of anesthesia in patients undergoing outpatient surgery. Middle East J Anesthesiol 1989; 10: 307–315.Google Scholar
Huma PO. A comparison of diprivan and thiopentone when used as induction agents for short surgical procedures. East African Med J 1990; 67: 622–631.Google Scholar
Cheng K-I, Chu K-S, Fang Y-R, et al. Total intravenous anesthesia using propofol and ketamine for ambulatory gynecologic laparoscopy. Kaohsiung J Med Sc 1999; 15: 536–541.Google Scholar
Wetchler BV, Alexander CD, Kondragunta RD. Recovery from the use of propofol for maintenance of anesthesia during short ambulatory procedures. Sem Anesth 1992; 11: 20–22.Google Scholar
Sampson IH, Plosker H, Cohen M, Kaplan JA. Comparison of propofol and thiamylal for induction and maintenance of anaesthesia for outpatient surgery. Br J Anaesth 1988; 61: 707–711.Google Scholar
Moffat A, Cullen PM. Comparison of two standard techniques of general anaesthesia for day-case cataract surgery. Br J Anaesth 1995; 74: 145–148.Google Scholar
De Grood PMRM, Harbers JBM, van Egmond J, Crul JF. Anaesthesia for laparoscopy. Anaesthesia 1987; 42: 815–823.Google Scholar
Pastuovic L, Cohen ME, Burton RG. Propofol: an alternative general anaesthetic for outpatient oral surgery. J Oral Maxillofac Surg 1996; 54: 943–948.Google Scholar
Cade L, Morley PT, Ross AW. Is propofol cost-effective for day-surgery patients? Anaesth Intens Care 1991; 19: 201–204.Google Scholar
Werner ME, Newhouse RF. A comparison of propofol with methohexital and isoflurane in two general anaesthetic techniques. J Oral Maxillofac Surg 1993; 51: 1076–1083.Google Scholar
Sloan MF, Conard PF, Karsunky PD, Gross JB. Sevoflurane versus isoflurane: induction and recovery characteristics with single-breath inhaled inductions of anesthesia. Anesth Analg 1996; 82: 528–532.Google Scholar
Fletcher JE, Sebel PS, Murphy MR, et al. Psychomotor performance after desflurane anesthesia: a comparison with isoflurane. Anesth Analg 1991; 73: 260–265.Google Scholar
Fredman B, Nathanson MH, Smith I, et al. Sevoflurane for outpatient anesthesia: a comparison with propofol. Anesth Analg 1995; 81: 823–828.Google Scholar
Dashfield AK, Birt DJ, Thurlow J, Kestin IG, Langton JA. Recovery characteristics using single-breath 8% sevoflurane or propofol for induction of anaesthesia in day-case arthroscopy patients. Anaesthesia 1998; 53: 1062–1066.Google Scholar
Smith I, Thwaites AJ. Target-controlled propofol vs. sevoflurane: a double-blind, randomised comparison in day-case anaesthesia. Anaesthesia 1999; 54: 745–752.Google Scholar
Ong EL, Chiu JW, Chong JL, Kwan KM. Volatile induction and maintenance (VIMA) versus total intravenous anaesthesia (TIVA) for minor gynaecological procedures. Ambulat Surg 2000; 8: 37–40.Google Scholar
Fish WH, Hobbs AJ, Daniels MV. Comparison of sevoflurane and total intravenous anaesthesia for daycase urological surgery. Anaesthesia 1999; 54: 999–1006.Google Scholar
Apfelbaum JL, Lichtor L, Lane BS, Coalson DW, Korttila KT. Awakening, clinical recovery, and psychomotor effects after desflurane and propofol anesthesia. Anesth Analg 1996; 83: 721–725.Google Scholar
Lebenhom-Mansour MH, Pandit SK, Kothary SP, Randel GI, Levy L. Desflurane versus propofol anesthesia: a comparative analysis in outpatients. Anesth Analg 1993; 76: 936–941.Google Scholar
Van Hemeirjick JV, Smith I, White PF. Use of desflurane for outpatient anesthesia. Anesthesiology 1991; 75: 197–203.Google Scholar
Rapp SE, Conahan TJ, Pavlin DJ, et al. Comparison of desflurane with propofol in outpatients undergoing peripheral orthopedic surgery. Anesth Analg 1992; 75: 572–579.Google Scholar
Wrigley SR, Fairfield JE, Jones RM, Black AE. Induction and recovery characteristics of desflurane in day case patients: a comparison with propofol. Anaesthesia 1991; 46: 615–622.Google Scholar
Graham SG, Aitkenhead AR. A comparison between propofol and desflurane anaesthesia for minor gynaecological laparoscopic surgery. Anaesthesia 1993; 48: 471–475.Google Scholar
Patil VP, Divatia JV, Dasgupta D, Chavhan R, Kakhandki V. Evaluation of sevoflurane for induction of anaesthesia for outpatient endoscopies: comparison with thiopentone. J Anaesth Clin Pharm 1999; 15: 23–28.Google Scholar
Nathanson MH, Fredman B, Smith I, White PF. Sevoflurane versus desflurane for outpatient anesthesia: a comparison of maintenance and recovery profiles. Anesth Analg 1995; 81: 1186–1190.Google Scholar
Tarazi EM, Philip BKA. A comparison of recovery after sevoflurane or desflurane in ambulatory anesthesia. J Clin Anesth 1998; 10: 272–277.Google Scholar
Naidu-Sjosvard K, Sjoberg F, Gupta A. Anaesthesia for videoarthroscopy of the knee. Acta Anaesthesiol Scand 1998; 42: 464–471.Google Scholar
Gupta A, Kullander M, Ekberg K, Lennmarken C. Anaesthesia for day-case arthroscopy: a comparison between desflurane and isoflurane. Anaesthesia 1996; 51: 56–62.Google Scholar
Rieker LB, Rieker MP. A comparison of the recovery times of desflurane and isoflurane in outpatient anesthesia. J Am Assoc Nurse Anesth 1998; 66: 183–186.Google Scholar
Martikainen M, Kangas-Saarela T, Loponen A, Salomaki T. One-week recovery profiles after spinal, propofol, isoflurane and desflurane anaesthesia in ambulatory knee arthroscopy. Ambulatory Surg 2000; 8: 139–142.Google Scholar
Ghouri AF, Bodner M, White PF. Recovery profile after desflurane–nitrous oxide versus isoflurane–nitrous oxide in outpatients. Anesthesiology 1991; 74: 419–424.Google Scholar
Philip BK, Kallar SK, Bogetz MS, Scheller MS, Wetchler BV. Sevoflurane Multicenter Ambulatory Group. A multicenter comparison of maintenance and recovery with sevoflurane or isoflurane for adult ambulatory anesthesia. Anesth Analg 1996; 83: 314–319.Google Scholar
Eriksson H, Haasio J, Korttila K. Recovery from sevoflurane and isoflurane anaesthesia after outpatient gynaecologic laparoscopy. Acta Anaesthesiol Scand 1995; 39: 377–380.Google Scholar
O'Hara DA, DeAngelis V, Lee H, et al. The effects of sevoflurane and isoflurane on recovery from outpatient surgery. Pharmacotherapy 1996; 16: 446–452.Google Scholar
Pollard BJ, Bryan A, Bennett D, et al. Recovery after oral surgery with halothane, enflurane, isoflurane or propofol anaesthesia. Br J Anaesth 1994; 72: 559–566.Google Scholar
Carter JA, Dye AM, Cooper GM. Recovery from day-case anaesthesia. Anaesthesia 1985; 40: 545–548.Google Scholar
Chung F, Mulier JP, Scolz J, et al. A comparison of anaesthesia using remifentanil combined with either isoflurane, enflurane or propofol in patients undergoing gynaecological laparoscopy, varicose vein or arthroscopic surgery. Acta Anaesthesiol Scand 2000; 44: 790–798.Google Scholar
Biswas TK, Hatch PD. A comparison of alfentanil, halothane and enflurane as supplements for outpatient urological surgery. Anaesth Intens Care 1989; 17: 275–279.Google Scholar
Wandel C, Neff S, Bohrer H, et al. Recovery characteristics following anaesthesia with sevoflurane or propofol in adults undergoing out-patient surgery. Eur J Clin Pharm 1995; 48: 185–188.Google Scholar
Raeder J, Gupta A, Pedersen FM. Recovery characteristics of sevoflurane- or propofol-based anaesthesia for day-care surgery. Acta Anaesthesiol Scand 1997; 41: 988–994.Google Scholar
Song D, Joshi GP, White PF. Fast track eligibility after ambulatory anesthesia: a comparison of desflurane, sevoflurane, and propofol. Anesth Analg 1998; 86: 267–273.Google Scholar
Eriksson H, Korttila K. Recovery profile after desflurane with or without ondansetron compared with propofol in patients undergoing outpatient gynaecological laparoscopy. Anesth Analg 1996; 82: 533–538.Google Scholar
Ashworth J, Smith I. Comparison of desflurane with isoflurane of propofol in spontaneously breathing ambulatory patients. Anesth Analg 1998; 87: 312–318.Google Scholar
Carroll PH, Ogg TW, Watson B, et al. The safety, efficacy and recovery characteristics of desflurane versus propofol for anaesthesia in an older day surgery population. Ambulatory Surg 1997; 5: 85–92.Google Scholar
Jakobsson J, Hellquist E, Bastos M. Cost-effective anaesthesia for outpatient arthroscopic surgery: Desflurane versus propofol? Ambulatory Surg 1997; 5: 67–70.Google Scholar
Raeder JC, Mjaland O, Aasbo V, Grogaard B, Buanes T. Desflurane versus propofol maintenance for outpatient laparoscopic cholecystectomy. Acta Anaesthesiol Scand 1998; 42: 106–110.Google Scholar
Santawat U, Lertakyamanee J, Svasdi-Xuto O. Recovery after total intravenous anesthesia (TIVA) using propofol and inhalation anesthesia (IA) using halothane in day case surgery. J Med Assoc Thailand 1999; 82: 770–776.Google Scholar
Marshall CA, Jones RM, Bajorek PK, Cashman JN. Recovery characteristics using isoflurane or propofol for maintenance of anaesthesia: a double-blind controlled trial. Anaesthesia 1992; 47: 461–466.Google Scholar
Valanne J. Recovery and discharge of patients after long propofol infusion vs isoflurane anaesthesia for ambulatory surgery. Acta Anaesthesiol Scand 1992; 36: 530–533.Google Scholar
Nelskylä K, Eriksson H, Soikkeli A, Korttila K. Recovery and outcome after propofol and isoflurane anesthesia in patients undergoing laparoscopic hysterectomy. Acta Anaesthesiol Scand 1997; 41: 360–363.Google Scholar
Larsen LE, Gupta A, Ledin T, et al. Psychomotor recovery following propofol or isoflurane anaesthesia for day-care surgery. Acta Anaesthesiol Scand 1992; 36: 276–282.Google Scholar
Green G, Jonsson L. Nausea: the most important factor determining length of stay after ambulatory anaesthesia. A comparative study of isoflurane and/or propofol techniques. Acta Anaesthesiol Scand 1993; 37: 742–746.Google Scholar
Gupta A, Kullander M, Ekberg K, Lennmarken C. Assessment of recovery following day-case arthroscopy. Anaesthesia 1995; 50: 937–942.Google Scholar
Nightingale JJ, Lewis IH. Recovery from day-case anaesthesia: comparison of total I.V. anaesthesia using propofol with an inhalation technique. Br J Anaesth 1992; 68: 356–359.Google Scholar
Oikkonen M. Propofol vs isoflurane for gynaecological laparoscopy. Acta Anaesthesiol Scand 1994; 38: 110–114.Google Scholar
Collins SJ, Robinson AL, Holland HF. A comparison between total intravenous anaesthesia using a propofol/ alfentanil mixture and an inhalational technique for laparoscopic gynaecological sterilization. Eur J Anaesthesiol 1996; 13: 33–37.Google Scholar
Killian A, Hamilton P, Tierney M. Propofol versus thiopental–isoflurane in outpatient surgical procedures. Can J Hosp Pharm 1992; 45: 139–145.Google Scholar
Nelskyla K, Korttila K, Hankala-Yli A. A comparison of sevoflurane–nitrous oxide and propofol–alfentanil–nitrous oxide anesthesia for minor gynaecological surgery. Br J Anaesth 1999; 83: 576–579.Google Scholar
Melnick BM, Johnson LS. Effects of eliminating nitrous oxide in outpatient anesthesia. Anesthesiology 1987; 67: 982–984.Google Scholar
Short SM, Rutherford CF, Sebel PS. A comparison between isoflurane and alfentanil supplemented anaesthesia for short procedures. Anaesthesia 1985; 40: 1160–1164.Google Scholar
Sukhani R, Lurie J, Jabamoni R. Propofol for ambulatory gynecologic laparoscopy: does omission of nitrous oxide alter postoperative emetic sequelae and recovery? Anesth Analg 1994; 78: 831–835.Google Scholar
Lindekaer AL, Skielboe M, Guldager H, Jensen EW. The influence of nitrous oxide on propofol dosage and recovery after total intravenous anaesthesia for day-case surgery. Anaesthesia 1995; 50: 397–399.Google Scholar
Arellano RJ, Pole ML, Rafuse SE, et al. Omission of nitrous oxide from a propofol-based anesthetic does not affect the recovery of women undergoing outpatient gynecologic surgery. Anesthesiology 2000; 93: 332–339.Google Scholar
Tang J, Chen L, White PF, et al. Recovery profile, costs, and patient satisfaction with propofol and sevoflurane for fast-track office-based anesthesia. Anesthesiology 1999; 91: 253–261.Google Scholar
Haley S, Edelist G, Urbach G. Comparison of alfentanil, fentanyl and enflurane as supplements to general anaesthesia for outpatient gynaecologic surgery. Can J Anaesth 1988; 35: 570–575.Google Scholar
Cartwright DP, Kvalsvik O, Cassuto J, et al. A randomized, blind comparison of remifentanil and alfentanil during anesthesia for outpatient surgery. Anesth Analg 1997; 85: 1014–1019.Google Scholar
Fabbri LP, Batacchi S, Linden M, et al. Anaesthesia for urological endoscopic procedures in adult outpatients. Eur J Anaesthesiol 1995; 12: 319–324.Google Scholar
Raftery S, Sherry E. Total intravenous anaesthesia with propofol and alfentanil protects against postoperative nausea and vomiting. Can J of Anaesth 1992; 4: 185–189.Google Scholar
Sukhani R, Vazquez J, Pappas AL, et al. Recovery after propofol with and without intraoperative fentanyl in patients undergoing ambulatory gynecologic laparoscopy. Anesth Analg 1996; 83: 975–981.Google Scholar
Hough MB, Sweeney B. Postoperative nausea and vomiting in arthroscopic day-case surgery: a comparison between desflurane and isoflurane. Anaesthesia 1998; 53: 910–924.Google Scholar
Tracey JA, Holland AJC, Unger L. Morbidity in minor gynaecological surgery: a comparison of halothane, enflurane and isoflurane. Br J Anaesth 1982; 54: 1213–1215.Google Scholar
Reigle MM, Leveque AA, Hagan AB, Gerbasi FR, Bhakta KP. Postoperative nausea and vomiting: a comparison of propofol infusion versus isoflurane inhalational technique for laparoscopic patients. J Am Assoc Nurse Anaesth 1995; 63: 37–41.Google Scholar
Gunawardene RD, White DC. Propofol and emesis. Anaesthesia 1988; 43 (Suppl): 65–67.Google Scholar
Nathan N, Peclit A, Lahrimi A, Feiss P. Comparison of sevoflurane and propofol for ambulatory anaesthesia in gynaecological surgery. Can J Anaesth 1998; 45: 1148–1150.Google Scholar
Felts JA, Poler SM, Spitznagel EL. Nitrous oxide, nausea, and vomiting after outpatient gynecologic surgery. J Clin Anesth 1990; 2: 168–171.Google Scholar
Hovorka J, Korttila K, Erkola O. Nitrous oxide does not increase nausea and vomiting following gynaecological laparoscopy. Can J Anaesth 1989; 36: 145–148.Google Scholar
Power KJ. Anesthesia for day case oral surgery. Br J Oral Maxillofac Surg 1989; 27: 387–393.Google Scholar
Dexter F, Tinker HJ. Comparisons between desflurane and isoflurane or propofol on time to following commands and time to discharge. Anesthesiology 1995; 83: 77–82.Google Scholar
Divatia JV, Vaidya JS, Badwe RA, Hawaldar RW. Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting. Anesthesiology 1996; 85: 1055–1062.Google Scholar
Ebert TJ, Robinson BJ, Uhrich TD, Mackenthun A, Pichotta PJ. Recovery from sevoflurane anesthesia. Anesthesiology 1998; 89: 1524–1531.Google Scholar
Joo HS, Perks WJ. Sevoflurane versus propofol for anesthetic induction: a meta-analysis. Anesth Analg 2000; 91: 213–219.Google Scholar
McQuay HJ, Moore RA. Postoperative analgesia and vomiting, with special reference to day surgery: a systematic review. Health Technol Assess 1998; 2: 1–236.Google Scholar
Sneyd JR, Carr A, Byrom WD, Bilski AJT. A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents. Eur J Anaesthesiol 1998; 15: 433–445.Google Scholar
Tramèr M, Moore A, McQuay H. Omitting nitrous oxide in general anaesthesia; meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials. Br J Anaesth 1996; 76: 186–193.Google Scholar
Tramèr M, Moore A, McQuay H. Propofol anaesthesia and postoperative nausea and vomiting: quantitative systematic review of randomized controlled studies. Br J Anaesth 1997; 78: 247–255.Google Scholar
Tramèr M, Moore A, McQuay H. Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs total i.v. anaesthesia with propofol. Br J Anaesth 1997; 78: 256–259.Google Scholar