Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep;169(3):489-495.
doi: 10.1002/ohn.319. Epub 2023 Mar 11.

Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty

Emily S Sagalow  1 , Leonard E Estephan  1 , Ayan T Kumar  1 , Michelle Hwang  1 , Howard Krein  1 , Ryan Heffelfinger  1
Affiliations

Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty

Emily S Sagalow et al. Otolaryngol Head Neck Surg. 2023 Sep.

Abstract

Objective: The aim was to evaluate the difference in recovery when comparing total intravenous anesthesia (TIVA) to inhalational gas anesthesia in patients receiving rhinoplasty.

Study design: Retrospective review.

Setting: Postoperative anesthesia care unit (PACU).

Methods: Patients who received a functional or cosmetic rhinoplasty at a single academic institution between April 2017 and November 2020 were included. Inhalational gas anesthesia was in the form of sevoflurane. Phase I recovery time, which was defined as the time it took a patient to reach ≥9/10 on the Aldrete scoring system was recorded, as well as the usage of pain medication in the PACU. The postoperative course and incidence of postoperative nausea and vomiting (PONV) were also collected.

Results: Two hundred and two patients were identified with 149 (73.76%) who received TIVA and 53 (26.24%) who received sevoflurane. For the patients who received TIVA, the average recovery time was 101.44 minutes (standard deviation [SD]: 34.64) compared to an average recovery time of 121.09 minutes (SD: 50.19) for patients who received sevoflurane leading to a difference of 19.65 minutes (p = 0.002). Patients who received TIVA experienced less PONV (p = 0.001). There were no differences in the postoperative course including surgical or anesthesia complications, postoperative complications, hospital or Emergency Department admissions, or administration of pain medication (p > 0.05 for all).

Conclusion: When utilizing TIVA over inhalational anesthesia, patients undergoing rhinoplasty had significantly increased benefits in terms of reduced phase I recovery times and decreased incidence of PONV. TIVA was demonstrated to be a safe and efficacious method of anesthesia for this patient population.

Keywords: facial plastics; inhalational anesthesia; recovery time; rhinoplasty; total intravenous anesthesia.

PubMed Disclaimer

References

    1. Fichman M, Piedra Buena IT. Rhinoplasty. StatPearls. StatPearls Publishing; 2022.
    1. Saleh H, Beegun I, Apaydin F. Outcomes in rhinoplasty. Facial Plast Surg. 2019;35:047-052.
    1. Miller AL, Theodore D, Widrich J. Inhalational anesthetic. StatPearls. StatPearls Publishing; 2022.
    1. Nimmo AF, Absalom AR, Bagshaw O, et al. Guidelines for the safe practice of total intravenous anaesthesia (TIVA): joint guidelines from the Association of Anaesthetists and the Society for Intravenous Anaesthesia. Anaesthesia. 2019;74:211-224.
    1. Schraag S, Pradelli L, Alsaleh AJO, et al. Propofol vs. inhalational agents to maintain general anaesthesia in ambulatory and in-patient surgery: a systematic review and meta-analysis. BMC Anesthesiol. 2018;18:162.

LinkOut - more resources