Back to Search Start Over

Total Intravenous Anesthesia Compared to Inhalational Anesthesia in Patients Undergoing Arthroscopic Rotator Cuff Repair.

Authors :
Rennie C
Futch KN
Brennan JC
Petre BM
Zaidi S
Turcotte JJ
Johnson AH
Redziniak DE
Source :
Cureus [Cureus] 2023 Dec 19; Vol. 15 (12), pp. e50775. Date of Electronic Publication: 2023 Dec 19 (Print Publication: 2023).
Publication Year :
2023

Abstract

Background Inhalation anesthesia (IA) and total intravenous anesthesia (TIVA) are common general anesthesia techniques. During rotator cuff repair (RCR), an interscalene block is beneficial for intraoperative and early postoperative pain control. This study aimed to evaluate postoperative outcomes and opioid usage in patients undergoing arthroscopic RCR with an interscalene block and either IA or TIVA. Methodology A retrospective observational study was performed of 478 patients undergoing RCR at a single institution. Demographics, surgical details, intra and postoperative medications, and 90-day outcomes were collected. Univariate and multivariate analyses were performed to evaluate differences between groups. Results In total, 309 (64.6%) patients received IA and 169 (35.3%) received TIVA. Patients receiving IA were more likely to have comorbidities, such as diabetes (p = 0.002), sleep apnea (p = 0.006), gastroesophageal reflux disease (p < 0.001), and hypertension (p < 0.001). After adjusting for differences between groups in the multivariate analysis, patients who received TIVA had significantly shorter surgical time (β = -14.85, p < 0.001) and perioperative time (β = -21.01, p < 0.001) and significantly lower first post-anesthesia care unit Pasero opioid-induced sedation scores (β = -0.022, p = 0.040). Patients who received TIVA were less likely to receive intraoperative narcotics (odds ratio = 0.38; p = 0.031). Conclusions TIVA appears to be a safe and effective anesthetic for patients undergoing arthroscopic RCR. TIVA is a potentially beneficial alternative to IA for this patient population.<br />Competing Interests: The authors have declared financial relationships, which are detailed in the next section.<br /> (Copyright © 2023, Rennie et al.)

Details

Language :
English
ISSN :
2168-8184
Volume :
15
Issue :
12
Database :
MEDLINE
Journal :
Cureus
Publication Type :
Academic Journal
Accession number :
38239510
Full Text :
https://doi.org/10.7759/cureus.50775