title: A comparison of propofol with methohexital and isoflurane in two general anesthetic techniques.
abstract: The purpose of this study was to compare two general anesthetic techniques involving oral intubation for use in outpatient third molar surgery. Fifty American Society of Anesthesiologists I or II patients were randomly allocated to two groups. Group 1 received methohexital, isoflurane, nitrous oxide, and alfentanil, while group 2 received propofol, alfentanil, and nitrous oxide. An analysis of the results showed that although the technique used in group 2 cost more, had a slightly longer induction time, and produced a similar duration of apnea, it did not cause significant hypotension (as previously reported), and had a significantly better overall recovery. It was concluded that the use of propofol in the outpatient surgery setting may be a valuable addition to the oral and maxillofacial surgeon's anesthetic armamentarium.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Tripler Army Medical Center, HI.
authors.forename: M E
authors.initials: ME
authors.lastname: Werner
authors.forename: D E
authors.initials: DE
authors.lastname: Bach
authors.forename: R F
authors.initials: RF
authors.lastname: Newhouse
mesh_terms: D000293:Adolescent; D000328:Adult; D015760:Alfentanil; D000762:Anesthesia Recovery Period; D000766:Anesthesia, Dental / Q000191:economics; D000768:Anesthesia, General / Q000191:economics; D016527:Drug Costs; D006801:Humans; D007022:Hypotension / Q000139:chemically induced; D007530:Isoflurane / Q000009:adverse effects / Q000191:economics; D008723:Methohexital / Q000009:adverse effects / Q000191:economics; D008875:Middle Aged; D008964:Molar, Third / Q000601:surgery; D009325:Nausea / Q000139:chemically induced; D009609:Nitrous Oxide; D015742:Propofol / Q000009:adverse effects / Q000191:economics; D011597:Psychomotor Performance / Q000187:drug effects; D013997:Time Factors; D014081:Tooth Extraction; D014839:Vomiting / Q000139:chemically induced
chemical_list: D015760:Alfentanil; D007530:Isoflurane; D008723:Methohexital; D009609:Nitrous Oxide; D015742:Propofol