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Evaluation of emergence agitation after general anaesthesia in rhinoplasty patients: Inhalation anaesthesia vs total intravenous anaesthesia

American Journal of Otolaryngology - Head and Neck Medicine and Surgery Jan 13, 2020

Talih G, et al. - Researchers compared the effects of low-flow sevoflurane anesthesia and total intravenous anesthesia (TIVA) on agitation in rhinoplasty patients. Further, they investigated the frequency of EA in low flow sevoflurane anesthesia after rhinoplasty. In this prospective randomised study, 90 rhinoplasty patients, under general anesthesia were included and were provided either propofol infusion (the TIVA group; n = 45), or sevoflurane (the SEVO group) with a fresh gas flow of 1 l/min and MAC (minimum alveolar concentration) 1–1.1 (the SEVO group; n = 45). Outcomes revealed that compared with low flow sevoflurane anesthesia, TIVA causes shorter early emergence times, less bleeding, high surgeon satisfaction, and lower EA scores in rhinoplasty.
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