In this randomized clinical trial, Jo et al investigated the effect of total intravenous anesthesia (TIVA) vs volatile induction with maintenance anesthesia (VIMA) on the occurrence of emergence agitation among 80 patients undergoing open rhinoplasty, septoplasty, turbinoplasty, endoscopic sinus surgery, and/or functional endoscopic sinus surgery under general anesthesia. In all, 40 patients were randomized to receive TIVA with remifentanil hydrochloride and propofol, and 40 recieved VIMA with sevoflurane and nitrous oxide. The authors found that the occurrence of emergence agitation after nasal surgery under general anesthesia may be reduced by using TIVA rather than VIMA.
Highlights. JAMA Otolaryngol Head Neck Surg. 2019;145(2):103. doi:10.1001/jamaoto.2018.2734
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