Faster wash-out and recovery for desflurane vs sevoflurane in morbidly obese patients when no premedication is used

British Journal of Anaesthesia

Volumn 99, Issue 3, 2007, Pages 353-358

  La Colla, L ^a   Albertin, A ^a   La Colla, G ^b   Mangano, A ^a  

^a VITA SALUTE SAN RAFFAELE UNIVERSITY   (Italy)

^b UNIVERSITY OF MODENA AND REGGIO EMILIA   (Italy)

Author keywords

Anaesthetic techniques, inhalation; Anaesthetics volatile, desflurane; Anaesthetics volatile, sevaflurane; Pharmacokinetics, obesity

Indexed keywords

ATRACURIUM; ATROPINE; DESFLURANE; KETOROLAC; MORPHINE SULFATE; NEOSTIGMINE; PROPOFOL; REMIFENTANIL; SEVOFLURANE;

ADULT; ANESTHESIA INDUCTION; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BISPECTRAL INDEX; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG CLEARANCE; ENDOTRACHEAL INTUBATION; FEMALE; HUMAN; HYPNOSIS; INTESTINE BYPASS; MALE; OBESITY; OPERATION DURATION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL;

EID: 34548270372     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aem197     Document Type: Article

References (31)

1. World Health Organization. Report of a WHO Consultation on obesity: preventing and managing the global epidemic. Geneva: WHO, 1998; 3-5 June
2. Abernethy DR, Greenblatt DJ. Drug disposition in obese humans. An update. Clin Pharmacokinet 1986; 11: 199-213
3. Blouin RA, Kolpek JH, Mann HJ. Influence of obesity on drug disposition. Clin Pharm 1987; 6: 706-14
4. Cheymol G. Clinical pharmacokinetics of drugs in obesity. An update. Clin Pharmacokinet 1993; 25: 103-14
5. Cheymol G. Effects of obesity on pharmacokinetic implications for drug therapy. Clin Pharmacokinet 2000; 39: 215-31
6. Bolinder J, Kerckhoffs DA, Moberg E, Hagstrom-Toft E, Arner P. Rates of skeletal muscle and adipose tissue glycerol release in nonobese and obese subjects. Diabetes 2000; 49: 797-802
7. Virtanen KA, Lonnroth P, Parkkola R. Glucose uptake and perfusion in subcutaneous and visceral adipose tissue during insulin stimulation in nonobese and obese humans. J Clin Endocrinol Metab 2002; 87: 3902-10
8. Strum DP, Eger EI II. Partition coefficients for sevoflurane in human blood, saline, and olive oil. Anesth Analg 1987; 66: 654-6
9. Eger EI II. Partition coefficients of 1-653 in human blood, saline, and olive oil. Anesth Analg 1987; 66: 971-3
10. Juvin P, Vadam C, Malek, Dupont H, Marmuse JP, Desmonts JM. Postoperative recovery after desflurane, propofol, or isoflurane anaesthesia among morbidly obese patients: A prospective randomized study. Anesth Analg 2000; 91: 714-9
11. Minto CF, Schnider TW, Egan TD, et al. Influence of age and gender on the pharmacokinetics and pharmacodynamics of remifentanil. I. Model development. Anesthesiology 1997; 86: 10-23
12. Minto CF, Schnider TW, Shafer SL. Pharmacokinetics and pharmacodynamics of remifentanil. II. Model application. Anesthesiology 1997; 86 24-33
13. Lemmens HJ, Brodsky JB, Bernstein DP. Estimating ideal body weight - a new formula. Obes Surg 2005; 15: 1082-3
14. Strum EM, Szenohradszki J, Kaufman WA, Anthone GJ, Manz IL, Lumb PD. Emergence and recovery characteristics of desflurane versus sevoflurane in morbidly obese adult surgical patients: A prospective, randomized study. Anesth Analg 2004; 99: 1848-53
15. Eger EI II. Uptake and distribution. In: Miller RD, ed. Miller's Anesthesia, 4th Edn. Philadelphia: Elsevier Churchill Livingstone, 2005; 131-53
16. Wissing H, Kuhn I, Rietbrock S, Fuhr U. Pharmacokinetic of inhaled anaesthetic in a clinical setting: Comparison of desflurane, isoflurane and sevoflurane. Br J Anaesth 2000; 84: 443-9
17. Stoelting RK, Eger EI II. An additional explanation for the second gas effect: A concentrating effect. Anesthesiology 1969; 30: 273-7
18. Torri G, Casati A, Albertin A, et al. Randomized comparison of isoflurane and sevoflurane for laparoscopic gastric banding in morbidly obese patients. J Clin Anesth 2001; 17: 300-5
19. Schrincker T, Galeone M, Wykes L, Carli F. Effect of desflurane/ remifentanil anaesthesia on glucose metabolism during surgery: A comparison with desflurane/epidural anaesthesia. Acta Anaesthesiol Scand 2004; 48: 169-73
20. Carpenter L, Eger EI II, Johnson BH, Unadkat JD, Sheiner LB. Pharmacokinetic of inhaled anaesthetics in humans. Anesth Analg 1984; 65: 575-82
21. Carpenter L, Eger EI II, Johnson BH, Unadkat JD. A new concept in inhaled anaesthetics pharmacokinetic. Anesth Analg 1984; 64: 197
22. Rietbrock S, Wissing H, Kuhn I, Fuhr U. Pharmacokinetics of inhaled anaesthetics in a clinical setting: Evaluation of a method based on routine monitoring data. Br J Anaesth 2000; 84: 437-42
23. Arain SR, Barth CD, Shankar H, Eberth TJ. Choice of volatile anaesthetic for the morbidly obese patients: Sevoflurane or desflurane. J Clin Anesth 2005; 17: 413-9
24. Vallejo MC, Sah N, Phelps AL, O'Donnell J, Romeo RC. Desflurane versus sevoflurane for laparoscopic gastroplasty in morbidly obese patients. J Clin Anesth 2007; 19: 3-8
25. De Baerdemaeker LE, Jacobs S, Den Blauwen NM, et al. Postoperative results after desflurane or sevoflurane combined with remifentanil in morbidly obese patients. Obes Surg 2006; 16: 728-33
26. De Baerdemaeker LE, Struys MM, Jacobs S, et al. Optimization of desflurane administration in morbidly obese patients: A comparison with sevoflurane using an 'inhalation bolus' technique. Br J Anaesth 2003; 91: 638-50
27. Behne M, Wilke HJ, Lischke V. Recovery and pharmacokinetic parameters of desflurane, sevoflurane, and isoflurane in patients undergoing urologic procedures. J Clin Anesth 1999; 11: 460-5
28. Nathanson MH, Fredman B, Smith I, White PF. Sevoflurane versus desflurane for outpatient anaesthesia: A comparison of maintenance and recovery profiles. Anesth Analg 1995; 81: 1186-90
29. Tarazi EM, Philip BK. A comparison of recovery after sevoflurane or desflurane in ambulatory anaesthesia. J Clin Anesth 1998; 10 272-7
30. Larsen B, Seitz A, Larsen R. Recovery of cognitive function after remifentanil-propofol anaesthesia: A comparison with desflurane and sevoflurane anaesthesia. Anesth Analg 2000; 90: 168-74
31. Eger EI II, Gong D, Koblin DD, et al. The effect of anaesthetic duration on kinetic and recovery characteristics of desflurane versus sevoflurane, and on the kinetic characteristics of Compound A, in volunteers. Anesth Analg 1998; 86: 414-21