Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Mar 2016
Randomized Controlled TrialThe influence of propofol and sevoflurane on intestinal motility during laparoscopic surgery.
Volatile anaesthetics have an influence on small bowel peristalsis during laparoscopic surgery. A recent study concluded that desflurane increased intestinal motility compared to sevoflurane. Hence, a desflurane-based anaesthesia protocol may reduce surgical exposure during intestinal suturing or stapling due to small bowel hyperperistalsis. The effect of propofol on intestinal motility is not well studied. We tested the hypothesis that a propofol-remifentanil anaesthesia increases intestinal contractions in comparison with a sevoflurane-remifentanil anaesthesia. ⋯ Propofol-remifentanil increases intestinal motility compared with sevoflurane-remifentanil during laparoscopic gastric bypass surgery. A sevoflurane-based protocol can help to avoid disturbing peristalsis.
-
Acta Anaesthesiol Scand · Mar 2016
Randomized Controlled TrialPerioperative aspects of abdominal aortic surgery; focus on choice of anesthetics.