Comparison of the Effects of Propofol and Sevoflurane Anesthesia on Optic Nerve Sheath Diameter in Robot-Assisted Laparoscopic Gynecology Surgery: A Randomized Controlled Trial
Abstract
:1. Introduction
2. Material and Methods
2.1. Participants
2.2. Anesthetic and Surgical Techniques
2.3. Measurements
2.4. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Sevoflurane Group (n = 21) | Propofol Group (n = 21) | p |
---|---|---|---|
Age (years) | 44.4 ± 5.5 | 44.9 ± 6.8 | 0.805 |
Height (cm) | 158.5 ± 4.7 | 158 ± 5.1 | 0.778 |
Weight (kg) | 58.6 ± 6.5 | 61 ± 8.4 | 0.289 |
Body mass index (kg/m2) | 23.2 ± 2.6 | 24.2 ± 3.3 | 0.282 |
Hypertension | 3 (14.3) | 1 (4.8) | 0.606 |
Diabetes mellitus | 1 (4.8) | 1 (4.8) | 1.000 |
Operation time (min) | 140 (105–145) | 130 (120–151) | 0.791 |
Anesthesia time (min) | 175 (145–195) | 170 (155–191) | 1.000 |
Crystalloid amount (mL) | 1381 ± 278.6 | 1395.2 ± 327.5 | 0.880 |
Estimated blood loss (mL) | 200 (200–300) | 200 (200–300) | 0.379 |
Sevoflurane Group (n = 21) | Propofol Group (n = 21) | Difference in the Means | 95% CI | p | |
---|---|---|---|---|---|
T0 (mm) | 4.54 ± 0.38 | 4.6 ± 0.26 | −0.06 | −0.27 to 0.14 | 0.530 |
T1 (mm) | 4.94 ± 0.41 | 4.81 ± 0.27 | 0.13 | −0.09 to 0.35 | 0.236 |
T2 (mm) | 5.08 ± 0.47 | 4.85 ± 0.29 | 0.23 | −0.02 to 0.47 | 0.070 |
T3 (mm) | 5.18 ± 0.38 | 4.93 ± 0.31 | 0.25 | 0.03 to 0.47 | 0.025 |
T4 (mm) | 4.59 ± 0.39 | 4.61 ± 0.26 | −0.02 | −0.22 to 0.19 | 0.872 |
Change in ONSD at T1 (mm) | 0.41 ± 0.26 | 0.21 ± 0.13 | 0.19 | 0.06 to 0.32 | 0.005 |
Change in ONSD at T2 (mm) | 0.54 ± 0.30 | 0.25 ± 0.09 | 0.29 | 0.15 to 0.43 | <0.001 |
Change in ONSD at T3 (mm) | 0.64 ± 0.23 | 0.33 ± 0.11 | 0.31 | 0.2 to 4.3 | <0.001 |
Change in ONSD at T4 (mm) | 0.05 ± 0.13 | 0.00 ± 0.07 | 0.05 | −0.02 to 0.12 | 0.126 |
Maximum increase from baseline (%) | 14.1 ± 5.08 | 7.17 ± 2.48 | 6.93 | 4.52 to 9.56 | <0.001 |
Number | |||||
Patients with ONSD over 5 mm at T0 | 2 (9.5) | 1 (4.8) | 0.549 | ||
Patients with ONSD over 5 mm at T1 | 11 (52.4) | 8 (38.1) | 0.352 | ||
Patients with ONSD over 5 mm at T2 | 15 (71.4) | 11 (52.4) | 0.204 | ||
Patients with ONSD over 5 mm at T3 | 15 (71.4) | 11 (52.4) | 0.204 | ||
Patients with ONSD over 5 mm at T4 | 4 (19) | 1 (4.8) | 0.153 |
Sevoflurane Group (n = 21) | Propofol Group (n = 21) | p | |
---|---|---|---|
EtCO2 (mmHg) | |||
T0 | 32 (32–33) | 32 (32–33) | 0.450 |
T1 | 34 (33–34) | 34 (33–35) | 0.949 |
T2 | 34 (34–35) | 34 (33–35) | 0.469 |
T3 | 34 (33–35) | 34 (33–35) | 0.601 |
T4 | 33 (32–34) | 34 (32–34) | 0.170 |
SBP (mmHg) | |||
T0 | 115.8 ± 18.1 | 115.7 ± 17.9 | 0.993 |
T1 | 124.4 ± 9.8 | 129.9 ± 11.5 | 0.105 |
T2 | 122.4 ± 12.1 | 128.2 ± 10.9 | 0.110 |
T3 | 120.0 ± 11.1 | 128.3 ± 8.2 | 0.009 |
T4 | 109.2 ± 11.6 | 115 ± 14.1 | 0.156 |
MBP (mmHg) | |||
T0 | 86.8 ± 15.1 | 84.9 ±13.8 | 0.664 |
T1 | 97.4 ± 8.2 | 98.8 ± 8.7 | 0.588 |
T2 | 95 ± 8.9 | 98.9 ± 8.5 | 0.165 |
T3 | 93.8 ± 8.4 | 97.7 ± 6.8 | 0.109 |
T4 | 82.6 ± 10.1 | 87.9 ± 11.8 | 0.128 |
DBP (mmHg) | |||
T0 | 67.3 ± 10.2 | 66.9 ± 12.2 | 0.913 |
T1 | 78.9 ± 7.7 | 79.9 ± 7.2 | 0.682 |
T2 | 77.1 ± 8.7 | 80.1 ± 8.0 | 0.259 |
T3 | 76.1 ± 7.9 | 78.8 ± 5.4 | 0.193 |
T4 | 64.4 ± 8.7 | 66.4 ± 9.4 | 0.468 |
Heart rate (beats/min) | |||
T0 | 77.2 ± 13.7 | 67.1 ± 10.9 | 0.012 |
T1 | 68.2 ± 10.3 | 62.8 ± 8.4 | 0.071 |
T2 | 69.4 ± 11.1 | 64.1 ± 9.5 | 0.108 |
T3 | 68.7 ± 9.8 | 63.3 ± 9.4 | 0.074 |
T4 | 64.4 ± 8.8 | 58.6 ± 7.8 | 0.028 |
SPO2 (%) | |||
T0 | 99.6 ± 0.6 | 99.4 ± 0.8 | 0.389 |
T1 | 99.8 ± 0.4 | 99.6 ± 0.6 | 0.246 |
T2 | 99.8 ± 0.4 | 99.6 ± 0.6 | 0.139 |
T3 | 99.8 ± 0.4 | 99.6 ± 0.6 | 0.229 |
T4 | 99.8 ± 0.4 | 99.9 ± 0.3 | 0.225 |
PPV (%) | |||
T0 | 5.1 ± 2.8 | 3.8 ± 2.6 | 0.114 |
T1 | 6.4 ± 3.4 | 6.2 ± 2.9 | 0.846 |
T2 | 6.0 ± 3.2 | 6.1 ± 2.3 | 0.871 |
T3 | 6 (4–7) | 5 (4–7) | 0.909 |
T4 | 6 (3–7) | 3 (3–7) | 0.291 |
PAP (cmH2O) | |||
T0 | 12 (10–13) | 13 (12–15) | 0.027 |
T1 | 22 ± 3.9 | 23.5 ± 4 | 0.220 |
T2 | 21.6 ± 3.8 | 23.2 ± 3.8 | 0.190 |
T3 | 21.4 ± 4.3 | 23.7 ± 3.4 | 0.061 |
T4 | 13.6 ± 2.6 | 14.5 ± 2.6 | 0.268 |
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Kim, J.E.; Koh, S.Y.; Jun, I.-J. Comparison of the Effects of Propofol and Sevoflurane Anesthesia on Optic Nerve Sheath Diameter in Robot-Assisted Laparoscopic Gynecology Surgery: A Randomized Controlled Trial. J. Clin. Med. 2022, 11, 2161. https://doi.org/10.3390/jcm11082161
Kim JE, Koh SY, Jun I-J. Comparison of the Effects of Propofol and Sevoflurane Anesthesia on Optic Nerve Sheath Diameter in Robot-Assisted Laparoscopic Gynecology Surgery: A Randomized Controlled Trial. Journal of Clinical Medicine. 2022; 11(8):2161. https://doi.org/10.3390/jcm11082161
Chicago/Turabian StyleKim, Jung Eun, Seong Yoon Koh, and In-Jung Jun. 2022. "Comparison of the Effects of Propofol and Sevoflurane Anesthesia on Optic Nerve Sheath Diameter in Robot-Assisted Laparoscopic Gynecology Surgery: A Randomized Controlled Trial" Journal of Clinical Medicine 11, no. 8: 2161. https://doi.org/10.3390/jcm11082161