TY - JOUR
T1 - Total intravenous anesthesia versus inhalation anesthesia
T2 - how do outcomes compare?
AU - Ramirez, Maria F.
AU - Gan, Tong J.
N1 - Publisher Copyright:
© 2023 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - Recent findingsSurgical procedures that involve general anesthesia are performed with either volatile anesthetics or propofol-based total intravenous anesthesia. Both techniques are safe and provide appropriate conditions for surgery. Despite being a well established anesthetic, the use of propofol-based total intravenous anesthesia (TIVA) remains low. Possible explanations include the perceived increase risk of awareness, lack of target controlled infusion devices, increased turnover time for device set up and individual preference.SummaryThere are some scenarios where patients could potentially benefit from propofol-based TIVA rather than a volatile anesthetic (e.g. postoperative nausea and vomiting) and some other clinical scenarios where the use of propofol-based anesthesia remains controversial since the strength of the evidence remains low.PurposeIn this review we will summarize the clinical evidence comparing the effect of propofol-based TIVA and volatile anesthetic on postoperative outcomes such as postoperative nausea and vomiting, postoperative pain, quality of recovery, postoperative cognitive dysfunction and cancer outcomes.
AB - Recent findingsSurgical procedures that involve general anesthesia are performed with either volatile anesthetics or propofol-based total intravenous anesthesia. Both techniques are safe and provide appropriate conditions for surgery. Despite being a well established anesthetic, the use of propofol-based total intravenous anesthesia (TIVA) remains low. Possible explanations include the perceived increase risk of awareness, lack of target controlled infusion devices, increased turnover time for device set up and individual preference.SummaryThere are some scenarios where patients could potentially benefit from propofol-based TIVA rather than a volatile anesthetic (e.g. postoperative nausea and vomiting) and some other clinical scenarios where the use of propofol-based anesthesia remains controversial since the strength of the evidence remains low.PurposeIn this review we will summarize the clinical evidence comparing the effect of propofol-based TIVA and volatile anesthetic on postoperative outcomes such as postoperative nausea and vomiting, postoperative pain, quality of recovery, postoperative cognitive dysfunction and cancer outcomes.
KW - cancer
KW - outcomes
KW - pain
KW - postoperative cognitive dysfunction
KW - postoperative nauseas and vomit
KW - total intravenous anesthesia
KW - volatile anesthetics
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U2 - 10.1097/ACO.0000000000001274
DO - 10.1097/ACO.0000000000001274
M3 - Review article
C2 - 37338939
AN - SCOPUS:85164299425
SN - 0952-7907
VL - 36
SP - 399
EP - 406
JO - Current opinion in anaesthesiology
JF - Current opinion in anaesthesiology
IS - 4
ER -