Comparison of the Effectiveness of Total Intravenous Anesthesia (TIVA) vs Inhalation Techniques in Patients with Morbid Obesity at Dr. M. Djamil General Hospital, Padang, Indonesia

Journal of Anesthesiology and Clinical Research Pub Date : 2024-03-06 DOI:10.37275/jacr.v5i2.539

Abdul Mutholib, Zuriatinah

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Abstract

Introduction: Morbidly obese patients (BMI ≥ 40 kg/m²) present unique challenges in anesthesia. Total intravenous anesthesia (TIVA) and inhalation techniques have their respective advantages and disadvantages in this group of patients. This study aims to compare the effectiveness and safety of TIVA and inhalation anesthesia in morbidly obese patients at Dr. M. Djamil General Hospital Padang. Methods: A prospective, randomized study was conducted on 80 morbidly obese patients undergoing elective surgery. Patients were randomized to receive TIVA with propofol and remifentanil or inhalation anesthesia with sevoflurane and desflurane. Results: The TIVA group demonstrated faster recovery time (p = 0.02) and less postoperative opioid requirements (p = 0.01) than the inhalation group. There was no significant difference in the incidence of intraoperative or postoperative complications. Conclusion: TIVA is an effective and safe option for morbidly obese patients undergoing elective surgery. TIVA offers faster recovery and fewer postoperative opioid requirements than inhalation anesthesia.

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印度尼西亚巴东 M. Djamil 医生综合医院对病态肥胖症患者采用全静脉麻醉 (TIVA) 与吸入技术的效果比较

导言：病态肥胖患者（体重指数≥ 40 kg/m²）给麻醉带来了独特的挑战。全静脉麻醉（TIVA）和吸入技术对这类患者各有利弊。本研究旨在比较巴东 M. Djamil 医生综合医院病态肥胖患者使用 TIVA 和吸入麻醉的有效性和安全性。方法：对 80 名接受择期手术的病态肥胖患者进行了前瞻性随机研究。患者被随机分配接受使用丙泊酚和瑞芬太尼的 TIVA 或使用七氟醚和地氟醚的吸入麻醉。结果显示TIVA组比吸入组恢复时间更快（p = 0.02），术后阿片类药物需求更少（p = 0.01）。术中或术后并发症的发生率无明显差异。结论：对于接受择期手术的病态肥胖患者来说，TIVA 是一种有效且安全的选择。与吸入麻醉相比，TIVA恢复更快，术后对阿片类药物的需求更少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Anesthesiology and Clinical Research

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