COMPARISON OF RECOVERY QUALITY BETWEEN MAINTENANCE OF ANESTHESIA WITH TCI-PROPOFOL AND SEVOFLURANE FOR PARATHYROIDECTOMY IN HEMODIALYSIS PATIENTS
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Abstract
Objective: To compare the recovery quality between TCI-Propofol and Sevoflurane anesthesia maintenance for parathyroidectomy in patients undergoing periodic hemodialysis. Methods: A prospective, randomized, controlled clinical trial. Sixty patients were randomly divided into two groups: Group S (Sevoflurane, n=30) and Group P (TCI-Propofol, n=30). Results: The results showed that the recovery quality between Group S and Group P was equivalent, with excellent, good, and moderate recovery rates of 76.7%, 16.7%, and 6.6%, respectively, compared to 80%, 3.3%, and 16.7% (p > 0.05). The proportion of patients with hypotension in Group P was higher than in Group S: 46.7% compared to 20%, with a statistically significant difference (p < 0.05). The number of patients requiring Ephedrine between Group S (10%) and Group P (20%) was not statistically significant (p > 0.05). The rate of nausea and vomiting was higher in Group S (30%) compared to Group P (10%); however, this difference was not statistically significant (p > 0.05). Conclusion: The study indicates that both Propofol and Sevoflurane can be safely used in patients undergoing periodic hemodialysis for parathyroidectomy, with no clinically significant superiority between the two anesthetics
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Keywords
: TCI Propofol, Sevoflurane, QoR-15 recovery quality, secondary hyperparathyroidism surgery
References
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