Hu CH, Chou WY. Improved Pittsburgh Sleep Quality Index scores on first postoperative night achieved by propofol anesthesia in patients undergoing ambulatory gynecologic surgery. World J Clin Cases 2022; 10(21): 7256-7264 [PMID: 36157991 DOI: 10.12998/wjcc.v10.i21.7256]
Corresponding Author of This Article
Wen-Ying Chou, MD, PhD, Assistant Professor, Doctor, Department of Anesthesia, National Cheng Kung University Hospital, No. 138 Sheng-Li Road, Tainan 704, Taiwan. mauricecjhsu@hotmail.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2022; 10(21): 7256-7264 Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7256
Improved Pittsburgh Sleep Quality Index scores on first postoperative night achieved by propofol anesthesia in patients undergoing ambulatory gynecologic surgery
Chi-Hao Hu, Wen-Ying Chou
Chi-Hao Hu, Wen-Ying Chou, Department of Anesthesia, National Cheng Kung University Hospital, Tainan 704, Taiwan
Wen-Ying Chou, Institute of Clinical Pharmacy and Pharmaceutical Science, National Cheng Kung University, Tainan 704, Taiwan
Author contributions: Chou WY was responsible for study design, application of institutional review board approval, data analysis, and manuscript writing; Hu CH was responsible for data collection, obtainment of patient consent, and communication with patients.
Institutional review board statement: Ethical approval for this study was provided by Institutional Review Board of National Cheng Kung University Hospital, Tainan, Taiwan (No. B-ER-108-012-T).
Informed consent statement: Informed consent from patients was waived.
Conflict-of-interest statement: Wen-Ying Chou and Chi-Hao Hu declare that there is no conflict of interest regarding conduction of this study and preparation of this manuscript.
Data sharing statement: Data are shared after acceptance for publication.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Ying Chou, MD, PhD, Assistant Professor, Doctor, Department of Anesthesia, National Cheng Kung University Hospital, No. 138 Sheng-Li Road, Tainan 704, Taiwan. mauricecjhsu@hotmail.com
Received: November 9, 2021 Peer-review started: November 9, 2021 First decision: March 3, 2022 Revised: April 7, 2022 Accepted: June 4, 2022 Article in press: June 4, 2022 Published online: July 26, 2022 Processing time: 243 Days and 19.8 Hours
ARTICLE HIGHLIGHTS
Research background
For most patients, postoperative sleep disruptions are common regardless of the type of surgery, especially on the first night.
Research motivation
Since the postoperative sleep deprivation was observed for considerable surgical patients during the early postoperative period, we therefore intended to seek an effective way to avoid sleep disturbance for patients undergoing day surgeries.
Research objectives
We initiated this study on female patients of middle age who underwent minor gynecological day-surgery because of benign gynecological disease to compare the impact of total intravenous anesthesia by propofol and total inhalation anesthesia by sevoflurane in preventing sleep disturbance.
Research methods
We enrolled 61 American Society of Anesthesia (ASA) class I-II outpatients who underwent minor gynecologic surgeries by either propofol or sevoflurane anesthesia. Sleep quality evaluated by the Pittsburgh Sleep Quality Index (PSQI) on the first night of the ambulatory surgery was compared.
Research results
For the propofol group, the mean postoperative global PSQI score (3.3 ± 1.3) was lower than the mean preoperative global PSQI score (4.9 ± 2.3; P < 0.001); for the sevoflurane group, the mean postoperative global PSQI score (6.5 ± 2.8) was higher than the mean preoperative global PSQI score (5.5 ± 3.2; P = 0.02).
Research conclusions
Sleep quality assessed by the PSQI is better improved in ASA class I-II female patients receiving propofol anesthesia other than sevoflurane anesthesia for undergoing minor gynecologic surgeries.
Research perspectives
Total intra-venous anesthesia by propofol is recommended to be applied for same day ambulatory surgery for different surgical procedures.
