Article Sidebar

pdf
Date Published: 28/04/2025
Abstract Views: 102
Views pdf: 59
DOI: https://doi.org/10.51298/vmj.v549i2.13781
Issue
Vol. 549 No. 2 (2025)
Section
Các bài báo
How to Cite
Đặng Minh, H., Lê Hữu, T., Hà Quốc, H., Nguyễn Thị, N., Phan Tôn Ngọc, V., & Nguyễn Thị Phương, D. (2025). EMERGENCE QUALITY OF DESFLURANE VERSUS SEVOFLURANE IN ENDOSCOPIC SINUS SURGERY. Vietnam Medical Journal, 549(2). https://doi.org/10.51298/vmj.v549i2.13781

EMERGENCE QUALITY OF DESFLURANE VERSUS SEVOFLURANE IN ENDOSCOPIC SINUS SURGERY

Hiệu Đặng Minh, Trí Lê Hữu, Hùng Hà Quốc, Nghi Nguyễn Thị, Vũ Phan Tôn Ngọc, Dung Nguyễn Thị Phương

Main Article Content

Abstract

Background: Low-flow anesthesia offers several advantages, including reduced environmental pollution, minimized heat and humidity loss, and cost savings due to decreased anesthetic agent consumption. Desflurane has low blood solubility, allowing for rapid induction, early recovery and safe use in low-flow anesthesia. Objective: To compare emergence time, emergence quality, and anesthetic agent consumption between low-flow Desflurane and medium-flow Sevoflurane anesthesia in endoscopic sinus surgery. Methods: A randomized control study, single-blinded, in patients undergoing endoscopic sinus surgery. Results: The emergence time in the Desflurane group was shorter than in the Sevoflurane group (5.9 ± 1.1 minutes vs. 8.7 ± 1.4 minutes; p < 0.001). The time to orientation to name and place, and the time to achieve an Aldrete score ≥ 9 were also shorter in the Desflurane group (7.6 ± 1.3 minutes vs. 11 ± 1.6 minutes; p < 0.001 and 8.7 ± 1.3 minutes vs. 12.3 ± 1.4 minutes; p < 0.001, respectively). The prevalence of post-emergence agitation and airway irritation showed no significant difference between the two groups. The anesthetic agent consumption in the Desflurane group was higher than in the Sevoflurane group (46.6 ± 12.4 mL vs. 29.5 ± 10.5 mL; p < 0.001). Conclusion: Maintenance anesthesia with Desflurane in patients undergoing endoscopic sinus surgery shortened emergence time by 32.3% and provided better emergence quality compared to Sevoflurane.

Article Details

Keywords

Desflurane, Sevoflurane, low-flow anesthesia, endoscopic sinus surgery

References

1. Ayanoglu Tas B, Sanli Karip C, Abitagaoglu S, et al. Comparison of minimal-flow sevoflurane versus desflurane anesthesia: randomized clinical trial. Braz J Anesthesiol. Jan-Feb 2022;72(1):77-82.
2. Choi GJ, Baek CW, Kang H, et al. Emergence agitation after orthognathic surgery: a randomised controlled comparison between sevoflurane and desflurane. Acta Anaesthesiol Scand. Feb 2015;59(2):224-231.
3. Gangakhedkar GR, Monteiro JN, et al. A prospective randomized double-blind study to compare the early recovery profiles of desflurane and sevoflurane in patients undergoing laparoscopic cholecystectomy. J Anaesthesiol Clin Pharmacol. Jan-Mar 2019;35(1):53-57.
4. Lineburger EB, Modolo NSP, Braz LG, et al. Minimal fresh gas flow sevoflurane anesthesia and postoperative acute kidney injury in on-pump cardiac surgery: a randomized comparative trial. Braz J Anesthesiol. Jan-Feb 2023;73(1):46-53.
5. Lodh N, Parmar V, Oza V, et al. A comparison of emergence behavior and cost effectiveness in tonsillectomy patients undergoing general anesthesia with desflurane versus sevoflurane. Archives of Anesthesiology and Critical Care. 2022;8(3):236-239.
6. Saha M, Saxena KN, Wadhwa B, et al. Comparative study of recovery of airway reflexes and cognitive function following sevoflurane versus desflurane anaesthesia. Indian J Anaesth. Apr 2021;65(4):282-288.
7. Taskin D, Gedik E, Kayhan Z, et al. Effects of minimal flow sevoflurane or desflurane anaesthesia on hemodynamic parameters, body temperature and anaesthetic consumption. Turk J Anaesthesiol Reanim. Oct 2020;48(5):356-363.
8. Uppala H, Kumar MA, Ansari MMM, et al. Comparative study of recovery parameters of desflurane and sevoflurane in functional endoscopic sinus surgery. ScienceRise: Medical Science. 2022;(2(47)):4-10.