Anesthesia management for the super XXXX : is @entity2614 superior to @entity1875 as a sole anesthetic agent? A double-blind randomized controlled trial.

@entity1 @entity28 @entity1875 @entity2614 @entity282 @entity1937
OBJECTIVE: General anesthesia in @entity28 @entity1 is both challenging and demanding. With the rates of @entity28 in the general population increasing, more @entity1 undergo bariatric surgery. The aim of this study was to compare the performance, effectiveness and recovery from anesthesia of @entity2614 and @entity1875 in combination with @entity1937 , with and without bispectral index (BIS) monitoring in super @entity28 @entity1 undergoing bariatric surgery. @entity1 AND METHODS: In this prospective, double-blind, randomized, controlled study a total of 100 super @entity28 @entity1 (body mass index, BMI > 50 kg/m2) undergoing bariatric surgery were randomly allocated in four groups: a @entity2614 group (n = 25), a @entity2614 with BIS monitoring group (n = 25), a @entity1875 group (n=25) and a @entity1875 with BIS monitoring group (n=25). Hemodynamic parameters, depth of anesthesia, recovery from anesthesia and @entity282 were recorded. RESULTS: The mean age of @entity1 was 37.7    9.2 years and the median BMI was 57.86    9.33. There were no statistically significant differences between the four groups with respect to @entity1 characteristics, comorbidities and duration of surgery. The intraoperatively mean arterial pressure was significantly higher in both @entity1875 groups. No significant difference was observed between the four groups in respect to heart rate changes during anesthesia. Although the time to eye-opening and extubation was significantly shorter in both @entity1875 groups, recovery from anesthesia, assessed with the Aldrete, Chung and White recovery scores, was significantly faster in @entity2614 groups. No significant difference was observed in @entity282 between the four groups. CONCLUSIONS: Although both @entity1875 and @entity2614 provide adequate general anesthesia, @entity2614 may be preferable in super @entity28 @entity1 because of superior hemodynamic stability and faster recovery from anesthesia.
