title: Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial.
abstract: OBJECTIVE
  The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire.
  
  
  METHODS
  Prospective randomized clinical trial.
  
  
  METHODS
  The setting is at an operating room, a postoperative recovery area, and a hospital ward.
  
  
  METHODS
  One-hundred thirty American Society of Anesthesiologists physical status I or II patients scheduled to undergo general anesthesia for ORL interventions under remifentanil, in combination with sevoflurane (balanced technique) or propofol (total intravenous anesthesia).
  
  
  METHODS
  Occurrence of nausea, vomiting, body temperature less than 36°C, and length of stay in the postanesthesia care unit were recorded. The QoR-40 was administered by an investigator blind to group allocation 24 hours after surgery. The quality of recovery, as assessed by the score on the QoR-40, was compared between the groups.
  
  
  RESULTS
  There is no difference regarding the QoR-40 score among intravenous and inhalation anesthesia groups (190.5 vs 189.5, respectively; P=.33). Similarly, among the 5 dimensions of the QoR-40, the scores were comparable between the groups. Incidence of hypothermia (P=.58), nauseas or vomits (P=.39), and length of surgery (P=.16) were similar among groups. The evaluation of pain intensity (P=.80) and dose of morphine use in the postanesthesia care unit (P=.4) was also comparable between groups.
  
  
  CONCLUSIONS
  The quality of recovery from anesthesia assessed based on the patients' perception did not differ between the ones subjected to either inhalation or intravenous general anesthesia for ORL surgery based on QoR-40 questionnaire assessment.
authors.affiliation: Department of Surgery, School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, SP, Brazil. Electronic address: eduardo_moro@terra.com.br.
authors.forename: Eduardo Toshiyuki
authors.initials: ET
authors.lastname: Moro
authors.affiliation: Department of Surgery, School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, SP, Brazil. Electronic address: fabio.leme@hotmail.com.
authors.forename: Fábio Caetano Oliveira
authors.initials: FC
authors.lastname: Leme
authors.affiliation: Department of Surgery, School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, SP, Brazil. Electronic address: bernardorn@gmail.com.
authors.forename: Bernardo Roveda
authors.initials: BR
authors.lastname: Noronha
authors.affiliation: School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, SP, Brazil. Electronic address: gustavofps@gmail.com.
authors.forename: Gustavo Farinha Pinto
authors.initials: GF
authors.lastname: Saraiva
authors.affiliation: School of Medical and Health Sciences, Pontifical Catholic University of São Paulo, PUC-SP, São Paulo, SP, Brazil. Electronic address: nathalia_vianna@hotmail.com.
authors.forename: Nathália Vianna
authors.initials: NV
authors.lastname: de Matos Leite
authors.affiliation: Department of Anesthesiology, Botucatu Medical School, São Paulo State University-UNESP, Botucatu, SP, Brazil. Electronic address: laishnavarro@fmb.unesp.br.
authors.forename: Laís Helena Camacho
authors.initials: LH
authors.lastname: Navarro
mesh_terms: D000328:Adult; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000379:methods*; D000769:Anesthesia, Inhalation / Q000379:methods*; D000771:Anesthesia, Intravenous / Q000379:methods*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D010880:Piperidines; D015742:Propofol; D011446:Prospective Studies; D000077208:Remifentanil; D000077149:Sevoflurane
chemical_list: D008738:Methyl Ethers; D010880:Piperidines; D000077149:Sevoflurane; D000077208:Remifentanil; D015742:Propofol
keywords: Inhalation anesthesia; Intravenous anesthesia; Patient satisfaction; Quality measures; Questionnaire; Recovery from anesthesia