Comparison of Postoperative Recovery between Balanced and Total Intravenous Anesthesia in Patients Undergoing Off-Pump Coronary Artery Bypass (OPCAB) Surgery: A Prospective, Single-Blind Randomized Study

Dongho Kang, Minji Kim, Hong-Beom Bae, Seonho Moon and Joungmin Kim ()
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Dongho Kang: Department of Anesthesiology and Pain Medicine, Chonnam National University, Hwasun Hospital, Hwasun 58128, Chonnam, Republic of Korea
Minji Kim: Department of Anesthesiology and Pain Medicine, Chonnam National University, Hwasun Hospital, Hwasun 58128, Chonnam, Republic of Korea
Hong-Beom Bae: Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University, Gwangju 61469, Republic of Korea
Seonho Moon: Department of Anesthesiology and Pain Medicine, Chonnam National University Hospital, Gwangju 61469, Republic of Korea
Joungmin Kim: Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University, Gwangju 61469, Republic of Korea

IJERPH, 2023, vol. 20, issue 3, 1-10

Abstract: Recovery after anesthesia has a significant impact on a patient’s return to daily life. This study was performed to compare the postoperative quality of recovery according to the method of anesthesia administered among patients undergoing OPCAB using the Korean version of the Quality of Recovery-40 (QoR-40K) questionnaire. This single-blind, prospective study (trial number: KCT0004726) was performed using a population of 102 patients undergoing OPCAB under general anesthesia. The patients were randomly assigned to one of two groups using a computer-generated list: a total intravenous anesthesia group (Group T) and a balanced anesthesia group (Group B). The QoR-40K score was measured preoperatively and at 24 and 48 h after extubation. There was no significant difference in the QoR-40K scores between the groups at 24 and 48 h after extubation. In addition, there were no significant differences between groups with respect to any of the five dimensions of QoR-40K at 24 and 48 h after extubation. Finally, there were no differences in the postoperative opioid consumption, time to extubation, or length of hospital stay. In this study, there was no difference in the QoR-40K score at 24 h after extubation between Groups T and B. Therefore, both methods of anesthesia are suitable for use when performing OPCAB.

Keywords: anesthesia recovery period; coronary artery bypass; balanced anesthesia; cardiac procedures; anesthesia; intravenous; sevoflurane; propofol (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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