Comparación de la anestesia general balanceada y la endovenosa total para la microcompresión percutánea del ganglio de Gasser con balón en la neuralgia del trigémino

Patricia Heise; Marcos Babor

doi:10.47924/neurotarget2009335

Authors

Patricia Heise Depreca Hospital. Santiago, Chile
Marcos Babor Depreca Hospital. Santiago, Chile

DOI:

https://doi.org/10.47924/neurotarget2009335

Keywords:

remifentanil, propofol, blood pressure, heart rate, trigeminal neuralgia, microcompression of the gasserian ganglion

Abstract

Objective: To compare the effectiveness of two anesthetics schemes, the balanced general anaesthesia versus total intravenous anaesthesia (TIVA) for hemodynamic control in patients undergoing retrogasserian balloon microcompression for trigeminal neuralgia.

Patients and method: A retrospective trial was conducted in thirty patients aged between 37 and 82 years old, ASA I and II. The participants were allocated randomly to receive balanced general anaesthesia (BGA), Group A, with isoflurane/fentanyl, or total intravenous anaesthesia (TIVA), Group B, with propofol/ remifentanil. The systolic, diastolic and mean arterial pressure, heart rate, and oximetry were evaluated through the anesthesia periods. Statistical analysis comprised the Student t test for continuous variables and x² (chi-square) for qualitative variables.

Results: Group A had higher blood pressures during the period of mayor surgical stimulus. The scheme propofol/remifentanil obtained better hemodynamic control and it’s easier management.

Conclusions: The Group B’s hemodynamic response was better. Furthermore, the predictable recovery of TIVA is an attractive alternative to BGA. Moreover, the atropinización after the procedure is a measure that could benefit patients.

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