AMBULATORY NOTES for December 1996
Assessment of recovery following day-case arthroscopy. A comparison between propofol and isoflurane-based anaesthesia.
Gupta A et al. Anesthesia [ read the abstract ]
Recovery after the newer inhalant agent desflurane should be more rapid because of its low solubility. This study compares desflurane with the older inhalant, isoflurane for the maintenance phase of ambulatory arthroscopic procedures, used in conjunction with propofol induction, 66% nitrous oxide, alfentanil 1 mg and an LMA. The authors evaluated recovery using early indices and discharge times. They also evaluated the quality of recovery, using side effects, visual analog mood scales, and the mood adjective checklist.
Does post-laparoscopy pain relate to residual carbon dioxide?
Jackson SA, et al Anesthesia [ read the abstract ]
Postsurgical pain in ambulatory patients having gynecologic procedures remains a significant recovery problem. These authors took erect chest x-rays of patients before discharge, and called them at home the next day. The authors evaluated the relationship between the amount of pain experienced and the volume of the residual gas bubble.
