ArticleMedicine2017
Planning for operating room efficiency and faster anesthesia wake-up time in open major upper abdominal surgery.
Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Operating Room Performance Optimization Metrics: a Systematic Review.Journal of medical systems · 2023Pooled it
- The effect of low flow anesthesia on hemodynamic and peripheral oxygenation parameters in obesity surgery.Saudi medical journal · 2021Trial
- Early postoperative recovery in operating room after desflurane anesthesia combined with Bispectral index (BIS) monitoring and warming in lengthy abdominal surgery: a randomized controlled study.BMC anesthesiology · 2018Trial
- Efficacy of sevoflurane as an adjuvant to propofol-based total intravenous anesthesia for attenuating secretions in ocular surgery.Medicine · 2017Trial
- Impact of tracheal extubation location after surgical procedures on peri-operative times: a prospective dual-centre observational study.Anaesthesia · 2025Observational
- Investigation of Endotracheal Tube Versus Laryngeal Mask Airway Emergence Times for Surgical Patients.Cureus · 2025Article
- Incidence of prolonged time to tracheal extubation and its associated factors among adult patients undergoing elective surgery at Jimma Medical Center, Jimma, Oromia, Ethiopia, 2024.Perioperative medicine (London, England) · 2025Article
- Colorectal Surgery in Critically Unwell Patients: A Multidisciplinary Approach.Clinics in colon and rectal surgery · 2022Review
- Benchmarking of Anesthesia and Surgical Control Times by Current Procedural Terminology (CPT®) Codes.Journal of medical systems · 2022Article
- Comparison of Perioperative Active or Routine Temperature Management on Postoperative Quality of Recovery in PACU in Patients Undergoing Thoracoscopic Lobectomy: A Randomized Controlled Study.International journal of general medicine · 2022Article
- A Retrospective Analysis of Respiratory Complications under General Anesthesia during EBUS-TBNA.Journal of community hospital internal medicine perspectives · 2022Article
- Prognostic significance of propofol-based intravenous anesthesia in early-stage lung cancer surgery.Surgery today · 2021Article
- Longer time to extubation after general anesthesia with desflurane in patients with obstructive respiratory dysfunction: a retrospective study.JA clinical reports · 2021Article
- Effects of dexmedetomidine on immune function, renal function and inflammatory factors of patients undergoing percutaneous nephrolithotomy under general anesthesia.Experimental and therapeutic medicine · 2021Article
- Propofol-based total intravenous anesthesia did not improve survival compared to desflurane anesthesia in breast cancer surgery.PloS one · 2019Article
- Observational
- Relationship between anesthesia and postoperative endophthalmitis: A retrospective study.Medicine · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Reducing anesthesia-controlled time (ACT) may improve operation room (OR) efficiency result from different anesthetic techniques. However, the information about the difference in ACT between desflurane (DES) anesthesia and propofol-based total intravenous anesthesia (TIVA) techniques for open major upper abdominal surgery under general anesthesia (GA) is not available in the literature.This retrospective study uses our hospital database to analyze the ACT of open major upper abdominal surgery without liver resection after either desflurane/fentanyl-based anesthesia or TIVA via target-controlled infusion with fentanyl/propofol from January 2010 to December 2011. The various time intervals including waiting for anesthesia time, anesthesia time, surgical time, extubation time, exit from OR after extubation, total OR time, and postanesthetic care unit (PACU) stay time and percentage of prolonged extubation (≥15 minutes) were compared between these 2 anesthetic techniques.We included data from 343 patients, with 159 patients receiving TIVA and 184 patients receiving DES. The only significant difference is extubation time, TIVA was faster than the DES group (8.5 ± 3.8 vs 9.4 ± 3.7 minutes; P = 0.04). The factors contributed to prolonged extubation were age, gender, body mass index, DES anesthesia, and anesthesia time.In our hospital, propofol-based TIVA by target-controlled infusion provides faster emergence compared with DES anesthesia; however, it did not improve OR efficiency in open major abdominal surgery. Older, male gender, higher body mass index, DES anesthesia, and lengthy anesthesia time were factors that contribute to extubation time.
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