title: The effect of anesthetic technique on recovery after orthognathic surgery: a retrospective audit.
abstract: We audited the recovery characteristics of 51 patients who had undergone orthognathic maxillofacial surgery at a single center. Patients whose anesthesia had been maintained with intravenous propofol and remifentanil (n  =  21) had significantly higher pain scores during the first 4 hours after surgery than those whose anesthesia was maintained with volatile inhalational agents and longer-acting opioids (n  =  30) (P  =  .016). There was a nonsignificant trend towards shorter recovery times in the former group, while there were no differences in early postoperative opioid usage, hemodynamic parameters, or postoperative nausea and vomiting . Given that our data were collected retrospectively and without the ability to control for potential confounders, we interpret the results with caution. Notwithstanding these limitations, we believe this is the first report comparing the effects of different opioid-based anesthetic regimens on early recovery from orthognathic surgery, and we believe this report may be used as the starting point for a controlled study.
authors: Heatherwood and Wexham Park Hospitals NHS Foundation Trust.
authors: Soudeh
authors: S
authors: Chegini
authors: Kevin D
authors: KD
authors: Johnston
authors: Athanasios
authors: A
authors: Kalantzis
authors: Daljit K
authors: DK
authors: Dhariwal
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000762:Anesthesia Recovery Period; D000766:Anesthesia, Dental / Q000379:methods*; D000769:Anesthesia, Inhalation / Q000379:methods*; D019162:Anesthetics, Combined / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D019230:Dental Audit; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008297:Male; D056948:Orthognathic Surgical Procedures; D010149:Postoperative Pain; D010880:Piperidines / Q000008:administration & dosage; D020250:Postoperative Nausea and Vomiting; D015742:Propofol / Q000008:administration & dosage; D000077208:Remifentanil; D012189:Retrospective Studies; D018709:Statistics, Nonparametric
chemical_list: D000701:Analgesics, Opioid; D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol