Friday, May 25, 2012

Propofol/Desflurane/Isoflurane in Morbid Obese Patients, Dr. Cartier


Cameron Cartier, DO

Article Review

Postoperative Recovery After Desflurane, Propofol, or Isoflurane Anesthesia Among Morbidly Obese Patients: A Prospective, Randomized Study
A & A September 2000 vol. 91 no. 3 714-719

Background:  Morbidly obese patients can present with several complications after surgery, one of which is delayed emergence times.

Results/Discussion: Patients were randomly selected to receive Desflurane, Propofol, or Isoflurane for maintenance of anesthesia during laparoscopic gastroplasties.  Patients who received Desflurane recovered more quickly and consistently, demonstrated higher oxygen saturation levels and were more mobile quicker than those patients who received Propofol or Isoflurane.  The article concludes with the recommendation that morbidly obese patients should receive Desflurane for anesthetic maintenance in order to improve postoperative status of the patient.

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