PMID- 22113931
OWN - NLM
STAT- MEDLINE
DCOM- 20120309
LR  - 20181201
IS  - 1471-6771 (Electronic)
IS  - 0007-0912 (Linking)
VI  - 108
IP  - 2
DP  - 2012 Feb
TI  - Comparison between local anaesthesia with remifentanil and total intravenous 
      anaesthesia for operative hysteroscopic procedures in day surgery.
PG  - 245-53
LID - 10.1093/bja/aer337 [doi]
AB  - BACKGROUND: This study aimed at comparing total i.v. anaesthesia (TIVA) with 
      monitored anaesthesia care (MAC) during day-surgery operative hysteroscopy 
      regarding: operation time, time to mobilization and discharge, and patient 
      satisfaction. METHODS: Ninety-one healthy women were randomized to MAC with 
      paracervical local anaesthesia and remifentanil or to TIVA with propofol and 
      remifentanil. Time from arrival to leaving the operating theatre, time from 
      arrival in the recovery room to mobilization and discharge readiness, and patient 
      satisfaction with MAC and TIVA were observed. RESULTS: Time from arrival to 
      leaving the operating theatre showed no significant difference between groups 
      (P=0.6). The time to mobilization MAC: 53 min [inter-quartile range (IQR) 
      40-83], TIVA: 69 min (IQR 52-96) (P=0.017) and the total time from arrival to 
      discharge readiness [MAC: 118 min (IQR 95-139), TIVA: 138 (IQR 120-158) 
      (P=0.0009)] were significantly reduced for patients in the MAC group. More 
      patients in the MAC group 45 (91.8%) than in the TIVA group 24 (64.9%) responded 
      positively to the question: would you like to receive the same kind of 
      anaesthesia for a similar procedure in the future? (P=0.003). CONCLUSIONS: 
      Paracervical local anaesthesia combined with remifentanil is suitable for 
      operative hysteroscopy in day surgery.
FAU - Majholm, B
AU  - Majholm B
AD  - Department of Anaesthesiology, CopenhagenUniversity Hospital, Herlev Ringvej 75, 
      Herlev DK-2730, Denmark. birmaj01@heh.regionh.dk
FAU - Bartholdy, J
AU  - Bartholdy J
FAU - Clausen, H V
AU  - Clausen HV
FAU - Virkus, R A
AU  - Virkus RA
FAU - Engbaek, J
AU  - Engbaek J
FAU - Moller, A M
AU  - Moller AM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20111123
PL  - England
TA  - Br J Anaesth
JT  - British journal of anaesthesia
JID - 0372541
RN  - 0 (Analgesics, Opioid)
RN  - 0 (Hypnotics and Sedatives)
RN  - 0 (Piperidines)
RN  - P10582JYYK (Remifentanil)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ambulatory Surgical Procedures/methods
MH  - Analgesics, Opioid/*administration & dosage
MH  - Anesthesia Recovery Period
MH  - Anesthesia, Intravenous/*methods
MH  - Anesthesia, Local/*methods
MH  - Conscious Sedation/methods
MH  - Drug Administration Schedule
MH  - Female
MH  - Humans
MH  - Hypnotics and Sedatives/administration & dosage
MH  - Hysteroscopy/*methods
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Piperidines/*administration & dosage
MH  - Remifentanil
EDAT- 2011/11/25 06:00
MHDA- 2012/03/10 06:00
CRDT- 2011/11/25 06:00
PHST- 2011/11/25 06:00 [entrez]
PHST- 2011/11/25 06:00 [pubmed]
PHST- 2012/03/10 06:00 [medline]
AID - S0007-0912(17)32481-9 [pii]
AID - 10.1093/bja/aer337 [doi]
PST - ppublish
SO  - Br J Anaesth. 2012 Feb;108(2):245-53. doi: 10.1093/bja/aer337. Epub 2011 Nov 23.