Anesth Pain Med.  2008 Oct;3(4):260-263.

The changes of heart rate, blood pressure and cardiac index in burn surgery under propofol-remifentanil anesthesia and desflurane anesthesia

• Kwak IS
• Lee TH
• Bae JY
• Woo CH
• Kim KM

Abstract

BACKGROUND: Major burns can alter the hemodynamic effect caused by anesthesia. Total intravenous anesthesia induces little hemodynamic change and desflurane has a rapid induction advantage among the different kinds of inhalation anesthesia. The study compared propofol and remifentanil anesthesia with desflurane anesthesia during induction and maintenance anesthesia.
METHODS
Forty patients, who were scheduled for burn surgery, were randomly assigned to either Group 1 (n = 20) or Group 2 (n = 20). Group 1 was induced and maintained with an infusion of propofol and remifentanil. After inducing anesthesia with propofol and rocuromium, group 2 was maintained with desflurane. The heart rate and mean arterial pressure, and cardiac index were measured in the operation room, after induction (AI), after intubation (AT) and at 5, 10, 15 and 20 minutes after intubation.
RESULTS
There was a significantly lower heart rate in group 1 than in group 2. The heart rate of group 2 showed a significant increase at AI, AT, 5, 10, 15 and 20 minutes after intubation. There was no significant difference in the mean arterial blood pressure and cardiac index between the two groups.
CONCLUSIONS
During burn surgery, total intravenous anesthesia was effective in attenuating the hemodynamic effects.

Keyword

burn; desflurane; propofol; remifentanil

MeSH Terms

Anesthesia
Anesthesia, Inhalation
Anesthesia, Intravenous
Arterial Pressure
Blood Pressure
Burns
Heart
Heart Rate
Hemodynamics
Humans
Imidazoles
Intubation
Isoflurane
Nitro Compounds
Piperidines
Propofol
Imidazoles
Isoflurane
Nitro Compounds
Piperidines
Propofol