Anesthesia technique and quality of recovery after laparoscopic cholecystectomy: Case closed?

Castro Alves, L.J.; Kendall, M.C.

doi:10.1016/j.redare.2018.04.009

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"apellidos" => "Kendall" "email" => array:1 [ 0 => "mark.kendall@lifespan.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Técnica anestésica y calidad de la recuperación tras colecistectomía laparoscópica: ¿un caso cerrado?" ] ] "textoCompleto" => "We read with great interest the article of Zaballos et al. in a recent issue of the Journal.<a class="elsevierStyleCrossRef" href="#bib0030">1</a> The authors performed a prospective longitudinal cohort study in patients undergoing laparoscopic cholecystectomy, and concluded that the quality of recovery was as favorable in the patients who received desflurane as to those who received total intravenous anesthesia. The authors should be congratulated for performing a well-designed study in an important topic (e.g. quality of recovery) in patients undergoing surgery.<a class="elsevierStyleCrossRef" href="#bib0035">2</a> The current emphasis on the need to improve patient-centered outcomes using non-opioid strategies makes the topic very relevant in perioperative medicine.<a class="elsevierStyleCrossRef" href="#bib0040">3</a>Although the study was well conducted, there are some questions that need clarification. First, the authors utilized remifentanil as part of the analgesic regimen; however, they do not report the dose of remifentanil used by each study group. This is important, as high doses of remifentanil can cause hyperalgesia and worsen postoperative recovery. Secondly, variability in pain assessments by nurses has been shown to cause bias in analgesic studies, but the authors did not take this fact into account in their analysis.<a class="elsevierStyleCrossRef" href="#bib0045">4</a> Lastly, previous studies on quality of recovery have shown that patients who receive more opioids have worse quality of recovery.<a class="elsevierStyleCrossRef" href="#bib0050">5</a> Zaballos et al. reported the opposite to be true, so it would be important for the authors to explain their findings.We would welcome comments addressing the aforementioned issues, as this would further support the findings of this important study." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Castro Alves LJ, Kendall MC. Técnica anestésica y calidad de la recuperación tras colecistectomía laparoscópica: ¿un caso cerrado? Rev Esp Anestesiol Reanim. 2018;65:416–417." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Desflurane versus propofol in post-operative quality of recovery of patients undergoing day laparoscopic cholecystectomy. Prospective, comparative, non-inferiority study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Zaballos" 1 => "A. Reyes" 2 => "J. Etulain" 3 => "C. Monteserín" 4 => "M. Rodríguez" 5 => "E. Velasco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.redar.2017.09.010" "Revista" => array:6 [ "tituloSerie" => "Rev Esp Anestesiol Reanim" "fecha" => "2018" "volumen" => "65" "paginaInicial" => "96" "paginaFinal" => "102" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29126612" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E.T. Moro" 1 => "F.C. Leme" 2 => "B.R. Noronha" 3 => "G.F. Saraiva" 4 => "N.V. de Matos Leite" 5 => "L.H. Navarro" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jclinane.2016.08.022" "Revista" => array:6 [ "tituloSerie" => "J Clin Anesth" "fecha" => "2016" "volumen" => "35" "paginaInicial" => "369" "paginaFinal" => "375" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27871559" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is gabapentin effective and safe in open hysterectomy? A PRISMA compliant meta-analysis of randomized controlled trials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "X.D. Li" 1 => "C. Han" 2 => "W.L. Yu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jclinane.2017.07.002" "Revista" => array:6 [ "tituloSerie" => "J Clin Anesth" "fecha" => "2017" "volumen" => "41" "paginaInicial" => "76" "paginaFinal" => "83" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28802618" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The trouble with using provider assessments for rating clinical performance: it's a matter of bias" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.J. McCarthy" 1 => "G.S. de Oliveira" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1213/ANE.0000000000000593" "Revista" => array:6 [ "tituloSerie" => "Anesth Analg" "fecha" => "2015" "volumen" => "120" "paginaInicial" => "714" "paginaFinal" => "716" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25790203" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of sevoflurane compared to propofol maintenance on post-surgical quality of recovery in patients undergoing an ambulatory gynecological surgery: a prospective, randomized, double-blinded, controlled, clinical trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.S. De Oliveira Jr." 1 => "J. Bialek" 2 => "M.E. Rodes" 3 => "M.C. Kendall" 4 => "R.J. McCarthy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jclinane.2017.10.001" "Revista" => array:6 [ "tituloSerie" => "J Clin Anesth" "fecha" => "2017" "volumen" => "43" "paginaInicial" => "70" "paginaFinal" => "74" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29032007" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000007/v1_201807260406/S2341192918301185/v1_201807260406/en/main.assets" "Apartado" => array:4 [ "identificador" => "70434" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000007/v1_201807260406/S2341192918301185/v1_201807260406/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192918301185?idApp=UINPBA00004N"]

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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 65. Issue 7.

Pages 416-417 (August - September 2018)

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