Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7256
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
For most patients, postoperative sleep disruptions are common regardless of the type of surgery, especially on the first night.
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.
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.
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.
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).
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.
Total intra-venous anesthesia by propofol is recommended to be applied for same day ambulatory surgery for different surgical procedures.