Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2000
Randomized Controlled Trial Comparative Study Clinical Trial[Desflurane--general anesthesia for cesarean section compared with isoflurane and epidural anesthesia].
Desflurane 2.5% was compared to Isoflurane 0.5% in a randomized study in terms of maternal and newborn effect on both groups with epidural anesthesia. Fifty patients under general anesthesia were randomly designated to receive either desflurane 2.5% or isoflurane 0.5% maintained in a 50-50% nitrous oxide and oxygen mixture. Twenty-five patients were assigned to receive epidural anesthesia using 15 ml ropivacaine 7.5 mg/ml with fentanyl 100 micrograms. ⋯ Similarly, the level of postoperative comfort was the same in both groups. Comparing the general and epidural anesthetic groups, no differences could be detected in neonatal outcomes. Conclusion is that there is one significant difference between desflurane 2.5% and isoflurane 0.5% anesthesia for cesarean section and it is the rapid recovery characteristic with desflurane which makes it an attractive alternative to TIVA (total intravenous anesthesia) and to other inhalational anesthetics available to obstetric anesthesiologists.