Literature DB >> 23224764

A prospective randomized multicenter comparative study of BLM-240 (desflurane) versus sevoflurane in Japanese patients.

Junzo Takeda1, Akiyoshi Namiki, Makoto Ozaki, Kazuhiko Fukuda, Kiyoshi Morita, Yuichi Kanmura, Michiaki Yamakage, Takami Komatsu, Eiichi Inada, Ryoichi Kawate, Masahiro Kanazawa, Atsuhiro Sakamoto, Shoichi Uezono, Shigehito Sato, Kimitoshi Nishiwaki, Yoshikazu Miyamoto, Hideki Nakatsuka, Nobuhiko Yasuda.   

Abstract

The present study was conducted to evaluate the efficacy and safety of BLM-240 (desflurane) in comparison to sevoflurane in Japanese patients. A total of 216 patients were enrolled in this randomized comparative study at 15 medical institutions. The patients received either BLM-240 with 50-70 % N2O in O2 (n = 111), BLM-240 with 30 % O2 in air (n = 55), or sevoflurane with 50-70 % N2O in O2 (n = 50). Efficacy was evaluated by an efficacy rate based on an efficacy evaluation criteria and recovery time to extubation from the discontinuation of the anesthetics. Safety was evaluated by incidence of adverse drug reactions (ADR) and other clinical indicators. The efficacy rate of BLM-240 was 98.8 % (164/166 patients), indicating that BLM-240 is effective as an anesthetic. Time from discontinuation of anesthetic delivery to extubation was 9.7 ± 0.6 min in the BLM-240/N2O group and 14.3 ± 0.9 min in the sevoflurane/N2O group, meeting the pre-defined non-inferiority criteria of BLM-240 to sevoflurane. There was no statistically significant difference in the incidence of total ADR between the BLM-240 group (62.0 %) and sevoflurane group (48.0 %). The results indicate that BLM-240 is an effective and safe inhalation anesthetic in Japanese patients.

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Year:  2012        PMID: 23224764     DOI: 10.1007/s00540-012-1536-x

Source DB:  PubMed          Journal:  J Anesth        ISSN: 0913-8668            Impact factor:   2.078


  8 in total

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Authors:  Jeetinder K Makkar; Babita Ghai; Neerja Bhardwaj; Jyotsna Wig
Journal:  Paediatr Anaesth       Date:  2011-10-21       Impact factor: 2.556

2.  Effect of increased body mass index and anaesthetic duration on recovery of protective airway reflexes after sevoflurane vs desflurane.

Authors:  R E McKay; A Malhotra; O S Cakmakkaya; K T Hall; W R McKay; C C Apfel
Journal:  Br J Anaesth       Date:  2009-12-26       Impact factor: 9.166

3.  Desflurane vs. sevoflurane as the main inhaled anaesthetic for spontaneous breathing via a laryngeal mask for varicose vein day surgery: a prospective randomized study.

Authors:  G B Saros; A Doolke; R E Anderson; J G Jakobsson
Journal:  Acta Anaesthesiol Scand       Date:  2006-05       Impact factor: 2.105

4.  Solubility of I-653, sevoflurane, isoflurane, and halothane in human tissues.

Authors:  N Yasuda; A G Targ; E I Eger
Journal:  Anesth Analg       Date:  1989-09       Impact factor: 5.108

5.  Effects of sevoflurane and isoflurane anesthesia on arterial ketone body ratio and liver function.

Authors:  T Nishiyama; T Yokoyama; K Hanaoka
Journal:  Acta Anaesthesiol Scand       Date:  1999-03       Impact factor: 2.105

6.  Desflurane preconditioning in coronary artery bypass graft surgery: a double-blinded, randomised and placebo-controlled study.

Authors:  Massimo Meco; Silvia Cirri; Chiara Gallazzi; Giulia Magnani; Daniele Cosseta
Journal:  Eur J Cardiothorac Surg       Date:  2007-06-15       Impact factor: 4.191

7.  Comparison of early cognitive function and recovery after desflurane or sevoflurane anaesthesia in the elderly: a double-blinded randomized controlled trial.

Authors:  D Rörtgen; J Kloos; M Fries; O Grottke; S Rex; R Rossaint; M Coburn
Journal:  Br J Anaesth       Date:  2009-12-30       Impact factor: 9.166

8.  Early postoperative cognitive recovery and gas exchange patterns after balanced anesthesia with sevoflurane or desflurane in overweight and obese patients undergoing craniotomy: a prospective randomized trial.

Authors:  Federico Bilotta; Andrea Doronzio; Vincenzo Cuzzone; Remo Caramia; Giovanni Rosa
Journal:  J Neurosurg Anesthesiol       Date:  2009-07       Impact factor: 3.956

  8 in total

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