Comparison of propofol and sevoflurane anesthesia by means of blood loss during endoscopic sinus surgery

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dc.contributor.authorSivaci R.
dc.contributor.authorYilmaz M.D.
dc.contributor.authorBalci C.
dc.contributor.authorErincler T.
dc.contributor.authorUnlu H.
dc.date.accessioned2024-07-22T08:24:16Z
dc.date.available2024-07-22T08:24:16Z
dc.date.issued2004
dc.description.abstractObjective: The purpose of the present investigation is to examine whether induced hypotension with propofol or sevoflurane anesthesia improves the dryness of surgical field in endoscopic sinus surgery (ESS). Methods: The study was performed between 1999 and 2002 in Celal Bayar University and Afyon Kocatepe University Hospitals, Turkey. Thirty-two patients (American Society of Anesthesiologists physical status I and III) with chronic sinusitis undergoing outpatient endoscopic sinus surgery under general anesthesia were studied to determine if anesthetic technique had an impact on estimated blood loss. The patients were allocated randomly into 2 groups. None of the patients were premedicated. Anesthesia was induced with propofol in both groups and maintained with propofol/fentanyl in the first group and sevoflurane/fentanyl in the second group. In both groups, controlled hypotension was used to improve surgical condition. Results: There were no differences between the duration of surgery and intraoperative mean arterial blood pressure when comparing the 2 groups. The average estimated blood loss in the propofol group was 128.1 ± 37.3 ml compared with an average estimated blood loss of 296.9 ± 97.8 ml in the sevoflurane group (p<0.01). Conclusion: General anesthesia based on propofol infusion may have the advantage of decreased bleeding compared with conventional inhalation agents. Therefore, making endoscopic surgery technically easier and safer by improving endoscopic visualization of the surgical field.
dc.identifier.issn03795284
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19894
dc.language.isoEnglish
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAmbulatory Surgical Procedures
dc.subjectAnesthesia, General
dc.subjectAnesthetics, Inhalation
dc.subjectAnesthetics, Intravenous
dc.subjectBlood Loss, Surgical
dc.subjectBlood Volume
dc.subjectChild
dc.subjectChronic Disease
dc.subjectEndoscopy
dc.subjectFemale
dc.subjectFentanyl
dc.subjectHumans
dc.subjectMale
dc.subjectMethyl Ethers
dc.subjectMiddle Aged
dc.subjectNasal Polyps
dc.subjectPropofol
dc.subjectSinusitis
dc.subjectTurkey
dc.subjectfentanyl
dc.subjectnitrous oxide
dc.subjectoxygen
dc.subjectpropofol
dc.subjectrocuronium
dc.subjectsevoflurane
dc.subjectadolescent
dc.subjectadult
dc.subjectanesthesia induction
dc.subjectanesthesiological techniques
dc.subjectarticle
dc.subjectbleeding
dc.subjectchronic sinusitis
dc.subjectclinical article
dc.subjectclinical trial
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectendoscopic surgery
dc.subjectgeneral anesthesia
dc.subjecthuman
dc.subjectinduced hypotension
dc.subjectmean arterial pressure
dc.subjectnose polyp
dc.subjectoperation duration
dc.subjectoutpatient
dc.subjectparanasal sinus
dc.subjectperoperative care
dc.subjectperoperative complication
dc.subjectpremedication
dc.subjectrandomization
dc.subjectschool child
dc.subjectstatistical significance
dc.subjectTurkey (republic)
dc.titleComparison of propofol and sevoflurane anesthesia by means of blood loss during endoscopic sinus surgery
dc.typeArticle

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