Izvorni znanstveni članak
https://doi.org/10.15644/asc60/1/4
Quality of Recovery after Intraoral Surgery: Total Intravenous Anaesthesia versus Sevoflurane: A Randomised Controlled Trial
Ivan Šitum
; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje; Sveučilište u Zagrebu, Stomatološki fakultet, Zagreb, Hrvatska
*
Slobodan Mihaljević
; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje
Igor Blivajs
; Klinički bolnički centar Zagreb, Klinika za otorinolaringologiju i kirurgiju glave i vrata, Hrvatska
Martina Perić Šitum
; Klinička bolnica Dubrava, Klinika za neurologiju, Hrvatska, Zagreb, Hrvatska
Pjetra Karlović
; Sveučilište u Zagrebu, Stomatološki fakultet, Zagreb, Hrvatska; Klinička bolnica Dubrava, Klinika za maksilofacijalnu i oralnu kirurgiju
Željko Verzak
; Sveučilište u Zagrebu, Stomatološki fakultet, Zagreb, Hrvatska;
Zoran Karlović
; Sveučilište u Zagrebu, Stomatološki fakultet, Zagreb, Hrvatska;
* Dopisni autor.
Sažetak
Objectives: To compare the quality of recovery between total intravenous anaesthesia (TIVA) with propofol and balanced inhalational anaesthesia with sevoflurane in patients undergoing intraoral surgical procedures. Materials and Methods: We conducted a prospective randomised controlled clinical trial on 50 patients (25 per group) who underwent intraoral surgical procedures longer than 30 minutes. The primary outcome was the quality of recovery measured by the QoR-40 questionnaire at 1 hour, 24 hours, and 30 days after surgery. Secondary outcomes included bite force, hand grip strength, incidence of postoperative nausea and vomiting (PONV), and postoperative shivering. Results: QoR-40 scores did not differ between groups at any time point (differences from -0.04 to 1.2 points, all p>0.05). Bite force and hand grip strength did not differ between groups. However, TIVA
eliminated PONV (0% vs 28%, p=0.010, NNT=4) and shivering (0% vs 36%, p=0.002, NNT=3). Conclusion: TIVA and sevoflurane result in a similar quality of recovery after intraoral procedures. However, TIVA eliminates PONV and shivering, which represents a clinically significant benefit for patients undergoing intraoral surgery.
Ključne riječi
Oral Surgery; Intravenous Anesthesia; Inhalation Anesthesia; Propofol; Sevoflurane; Anesthesia Recovery Period; Anesthesia; intravenous; sevoflurane; oral surgical procedures; postoperative nausea and vomiting; recovery of function
Hrčak ID:
345389
URI
Datum izdavanja:
13.3.2026.
Posjeta: 577 *