keyword
https://read.qxmd.com/read/38490897/carbon-footprint-of-total-intravenous-and-inhalation-anesthesia-in-the-transcatheter-aortic-valve-replacement-procedure
#1
JOURNAL ARTICLE
Lei Yang, Joshua Hubert, Samwel Gitundu, Ethan Brovman, Frederick Cobey
OBJECTIVES: To quantify and compare the emissions for deep sedation with total intravenous anesthesia (TIVA) and general anesthesia with inhaled agents during the transcatheter aortic valve replacement procedure. DESIGN: A retrospective study. SETTING: A tertiary hospital in Boston, Massachusetts. PARTICIPANTS: The anesthesia records of 604 consecutive patients who underwent the transcatheter aortic valve replacement procedure between January 1, 2018, and March 31, 2022, were reviewed and analyzed...
February 22, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38217717/evolving-trends-in-the-surgical-anaesthetic-and-intensive-care-management-of-acute-spinal-cord-injuries-in-the-uk
#2
JOURNAL ARTICLE
Hasan Asif, Samuel Ern Hung Tsan, Argyro Zoumprouli, Marios C Papadopoulos, Samira Saadoun
PURPOSE: We surveyed the treatment of acute spinal cord injuries in the UK and compared current practices with 10 years ago. METHODS: A questionnaire survey was conducted amongst neurosurgeons, neuroanaesthetists, and neurointensivists that manage patients with acute spinal cord injuries. The survey gave two scenarios (complete and incomplete cervical spinal cord injuries). We obtained opinions on the speed of transfer, timing and aim of surgery, choice of anaesthetic, intraoperative monitoring, targets for physiological parameters, and drug treatments...
January 13, 2024: European Spine Journal
https://read.qxmd.com/read/37985012/anaesthesia-related-cognitive-dysfunction-following-cardiothoracic-surgery-in-late-middle-age-and-younger-adults-a-scoping-review
#3
REVIEW
Hesam Aldin Varpaei, Lorraine B Robbins, Jiying Ling, Rebecca H Lehto, Catherine M Bender
AIM: This review aimed to evaluate factors associated with anaesthesia-related postoperative cognitive dysfunction (POCD) among adults younger than 65 years who underwent cardiothoracic surgeries. STUDY DESIGN: A systematic keyword search, following the scoping review framework, was performed in the PubMed and CINAHL databases. Original English-language studies that included adults younger than 65 years and addressed cognitive function after surgery along with anaesthesia management were included...
November 20, 2023: Nursing in Critical Care
https://read.qxmd.com/read/37068889/feasibility-pilot-trial-for-the-trajectories-of-recovery-after-intravenous-propofol-versus-inhaled-volatile-anesthesia-thrive-pragmatic-randomised-controlled-trial
#4
RANDOMIZED CONTROLLED TRIAL
Bethany R Tellor Pennington, Douglas A Colquhoun, Mark D Neuman, Mary C Politi, Allison M Janda, Cathie Spino, Steven Thelen-Perry, Zhenke Wu, Sathish S Kumar, Stephen H Gregory, Michael S Avidan, Sachin Kheterpal
INTRODUCTION: Millions of patients receive general anaesthesia for surgery annually. Crucial gaps in evidence exist regarding which technique, propofol total intravenous anaesthesia (TIVA) or inhaled volatile anaesthesia (INVA), yields superior patient experience, safety and outcomes. The aim of this pilot study is to assess the feasibility of conducting a large comparative effectiveness trial assessing patient experiences and outcomes after receiving propofol TIVA or INVA. METHODS AND ANALYSIS: This protocol was cocreated by a diverse team, including patient partners with personal experience of TIVA or INVA...
April 17, 2023: BMJ Open
https://read.qxmd.com/read/36301724/volatile-versus-total-intravenous-anesthesia-on-postoperative-delirium-in-adult-patients-undergoing-cardiac-valve-surgery-a-randomized-clinical-trial
#5
RANDOMIZED CONTROLLED TRIAL
Jia-Li Jiang, Lu Zhang, Lei-Lei He, Hong Yu, Xue-Fei Li, Shun-Hui Dai, Hai Yu
BACKGROUND: The effect of anesthesia regimens on postoperative delirium after on-pump cardiac valve surgery is yet undetermined. This study aimed to evaluate the effect of volatile anesthesia compared with propofol-based total intravenous anesthesia (TIVA) on the occurrence of delirium after on-pump cardiac valve surgery. METHODS: This randomized clinical trial was conducted at a university academic hospital in China, from February 2019 to January 2021. Patients scheduled for on-pump cardiac valve surgery or combined valve with coronary artery bypass grafting (CABG) surgeries were randomly assigned to receive anesthesia maintenance with either a volatile anesthetic (sevoflurane or desflurane) or propofol-based TIVA...
January 1, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/36107412/effect-of-total-intravenous-anesthesia-on-postoperative-pulmonary-complications-in-patients-undergoing-microvascular-reconstruction-for-head-and-neck-cancer-a-randomized-clinical-trial
#6
JOURNAL ARTICLE
Yi-Ting Chang, Chih-Sheng Lai, Chun-Te Lu, Cheng-Yeu Wu, Ching-Hui Shen
IMPORTANCE: Free flap surgery is a lengthy procedure with massive tissue destruction and reconstruction, which makes postoperative pulmonary complications (PPCs) a noticeable issue among patients with head and neck cancer. Propofol-based total intravenous anesthesia (TIVA) has better survival outcomes than inhalational anesthesia (INH) in several types of cancer surgery. A previous retrospective study found that patients in the TIVA group had a lower PPC rate, which may be correlated with a lower intraoperative fluid requirement...
September 15, 2022: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/35863984/effect-of-volatile-anesthesia-versus-total-intravenous-anesthesia-on-postoperative-pulmonary-complications-in-patients-undergoing-cardiac-surgery-a-randomized-clinical-trial
#7
RANDOMIZED CONTROLLED TRIAL
Lei-Lei He, Xue-Fei Li, Jia-Li Jiang, Hong Yu, Shun-Hui Dai, Wei-Wei Jing, Hai Yu
OBJECTIVES: The purpose of this study was to evaluate the effect of volatile anesthesia and propofol-based total intravenous anesthesia (TIVA) on postoperative pulmonary complications (PPCs) among patients undergoing cardiac surgery. DESIGN: Parallel-group, randomized controlled trial. SETTING: Single-center tertiary care hospital. PARTICIPANTS: Five hundred twenty-four patients undergoing cardiac surgery with cardiopulmonary bypass...
October 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/35776028/the-effects-of-total-intravenous-and-inhalation-anesthesia-maintenance-on-tissue-oxygenation-in-coronary-artery-bypass-graft-surgery
#8
JOURNAL ARTICLE
H Yiğit Özay, A Demir, E Balci, M Bahçecitapar, A Özgök
OBJECTIVE: The aim of this study is to evaluate the effect of total intravenous anesthesia (TIVA) and inhalational anesthesia techniques on tissue oxygenation in cardiac surgery. We compared the effects of midazolam-based TIVA and sevoflurane-based (SEVO) inhalation anesthesia maintenance on intraoperative central and regional tissue oxygenation parameters. PATIENTS AND METHODS: A total of 104 adult patients who were scheduled for elective isolated coronary bypass surgery were included in the study...
June 2022: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/35061147/blood-pressure-nomograms-for-children-undergoing-general-anesthesia-stratified-by-age-and-anesthetic-type-using-data-from-a-retrospective-cohort-at-a-tertiary-pediatric-center
#9
JOURNAL ARTICLE
Rosa J Hillgruber, Pavel Lutskov, Nicholas C West, Simon Whyte, Matthias Görges
Reference values for non-invasive blood pressure (NIBP) are available for children undergoing general anesthesia, but have not been analyzed by type of anesthetic. This study establishes age-specific pediatric NIBP reference values, stratified by anesthetic type: inhalational anesthesia (IHA), total intravenous anesthesia (TIVA), and mostly intravenous anesthesia (MIVA, an inhalational induction followed by intravenous maintenance of anesthesia). NIBP measurements were extracted from a de-identified vital signs database for children < 19 years undergoing anesthesia between Jan/2013-Dec/2016, excluding cardiac surgery...
January 21, 2022: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/34938770/non-intubated-thoracoscopic-surgery-pros-and-cons
#10
REVIEW
Miroslav Janík, Peter Juhos, Martin Lučenič, Katarína Tarabová
Pulmonary resection by video-assisted thoracoscopic surgery with single-lung ventilation has become a standardized modality over the last decades. With the aim to reduce surgical stress during operation procedures, some have adopted a uniportal approach in pulmonary resection as an alternative to multiportal VATS. The ERAS program has been widely spread to achieve even better outcomes. In 2004, Pompeo reported the resection of pulmonary modules by conventional VATS under intravenous anesthesia without endotracheal intubation...
2021: Frontiers in Surgery
https://read.qxmd.com/read/34873076/inhalational-or-total-intravenous-anesthetic-for-cardiac-surgery-does-the-debate-even-exist
#11
REVIEW
Benu Makkad, Timothy Lee Heinke, Miklos D Kertai
PURPOSE OF REVIEW: Perioperative myocardial injury related to cardiac surgery is associated with organ dysfunction and increased mortality. Volatile anesthetics (VA) have been used during cardiac surgery for decades because of their direct and indirect preconditioning and protection against ischemia-reperfusion injury. The current review provides a summary of the latest literature comparing pharmacological preconditioning and the potential benefits of using VA versus total intravenous anesthesia (TIVA) for general anesthesia to improve outcomes after cardiac surgery...
February 1, 2022: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/34722563/perioperative-multimodal-general-anesthesia-focusing-on-specific-cns-targets-in-patients-undergoing-cardiac-surgeries-the-pathfinder-feasibility-trial
#12
JOURNAL ARTICLE
Akshay Shanker, John H Abel, Shilpa Narayanan, Pooja Mathur, Erin Work, Gabriel Schamberg, Aidan Sharkey, Ruma Bose, Valluvan Rangasamy, Venkatachalam Senthilnathan, Emery N Brown, Balachundhar Subramaniam
Multimodal general anesthesia (MMGA) is a strategy that utilizes the well-known neuroanatomy and neurophysiology of nociception and arousal control in designing a rational and clinical practical paradigm to regulate the levels of unconsciousness and antinociception during general anesthesia while mitigating side effects of any individual anesthetic. We sought to test the feasibility of implementing MMGA for seniors undergoing cardiac surgery, a high-risk cohort for hemodynamic instability, delirium, and post-operative cognitive dysfunction...
2021: Frontiers in Medicine
https://read.qxmd.com/read/34515599/isoflurane-not-at-the-expense-of-postoperative-nausea-and-vomiting-in-cardiac-anesthesia-an-observational-study
#13
JOURNAL ARTICLE
Christine Meyer-Frießem, Sabeth Hüsken, Miriam Kaisler, Nathalie Malewicz, Peter K Zahn, Andreas Baumann
OBJECTIVES: Inhalative anesthesia is of common use, but is generally known to potentiate postoperative nausea and vomiting (PONV). With an internal change of anesthesia regimen from total intravenous anesthesia (TIVA) to isoflurane (in terms of myocardial protection) in cardiac anesthesia a higher incidence of PONV was to be expected. Therefore, we evaluated the incidence of PONV after the simultaneous implementation of PONV prophylaxis. METHODS: The incidence of PONV, prospectively assessed in 197 cardiac surgery patients (68y ± 10...
September 13, 2021: Current Medical Research and Opinion
https://read.qxmd.com/read/34400382/total-intravenous-anesthesia-with-propofol-associated-or-not-with-remifentanil-ketamine-or-s-ketamine-for-laparoscopic-ovariectomy-in-female-dogs
#14
JOURNAL ARTICLE
Vanessa Z Sarturi, Luciana G Teixeira, Gabriela P Coradini, Vanessa Milech, Hellen F Hartmann, Marcella T Linhares, Letícia R Martins, Juliana S de Oliveira, Maurício V Brun
Total intravenous anesthesia (TIVA) has been gaining ground in the routine of small animals. This study aimed to evaluate the hemodynamic effects produced by continuous infusion of propofol isolated or associated with ketamine, S-ketamine, or remifentanil in dogs submitted to video laparoscopic ovariectomy. Thirty-two female dogs were randomly assigned to 4 groups (n = 8): G,1 propofol (0.6 mg/kg/min); G2. ketamine (2 mg/kg followed by 100 µg/kg/min) and propofol (0.4 mg/kg/min); G3, S-ketamine (1 mg/kg followed by 50 µg/kg/min) and propofol (0...
November 2021: Topics in Companion Animal Medicine
https://read.qxmd.com/read/34292982/the-influence-of-propofol-based-total-intravenous-anesthesia-on-postoperative-outcomes-in-end-stage-renal-disease-patients-a-retrospective-observation-study
#15
JOURNAL ARTICLE
Ho Bum Cho, Mun Gyu Kim, Sun Young Park, Sanghoon Song, Youn Sil Jang, Suyeon Park, Hyun Keun Lee, Jae Hwa Yoo, Ji Won Chung, Sang Ho Kim
BACKGROUND: To determine whether the anesthetic method of propofol total intravenous anesthesia (TIVA) is associated with postoperative outcome in ESRD patients, we evaluated the incidence of postoperative major adverse cardiac events (MACE), comparing propofol TIVA versus anesthesia with volatile anesthesia in ESRD patients. METHODS: Retrospectively, we identified cases with ESRD patients who underwent surgery under general anesthesia. Patients were divided into those who received only volatile anesthesia (volatile group) and those who received only propofol TIVA (TIVA group)...
2021: PloS One
https://read.qxmd.com/read/34276252/volatile-versus-intravenous-anesthetics-in-cardiac-anesthesia-a-narrative-review
#16
REVIEW
Christopher Uhlig, Jakob Labus
PURPOSE OF THE REVIEW: The present review addresses clinicians and gives an overview about the experimental rationale for pharmacological conditioning associated with volatile anesthetics, opioids, and propofol; the current clinical data; and the technical considerations regarding the clinical routine in cardiac anesthesia. RECENT FINDINGS: Volatile anesthetics have been standard of care for general anesthesia for cardiac surgery, especially while using cardiopulmonary bypass...
2021: Current Anesthesiology Reports
https://read.qxmd.com/read/34270584/intravenous-versus-inhalational-maintenance-of-anesthesia-for-quality-of-recovery-in-adult-patients-undergoing-non-cardiac-surgery-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#17
COMPARATIVE STUDY
Min Shui, Ziyi Xue, Xiaolei Miao, Changwei Wei, Anshi Wu
BACKGROUND: Intravenous and inhalational agents are commonly used in general anesthesia. However, it is still controversial which technique is superior for the quality of postoperative recovery. This meta-analysis aimed at comparing impact of total intravenous anesthesia (TIVA) versus inhalational maintenance of anesthesia on the quality of recovery in patients undergoing non-cardiac surgery. METHODS: We systematically searched EMBASE, PubMed, and Cochrane library for randomized controlled trials (RCTs), with no language or publication status restriction...
2021: PloS One
https://read.qxmd.com/read/33934988/association-between-anesthetic-dose-and-technique-and-oncologic-outcomes-after-surgical-resection-of-non-small-cell-lung-cancer
#18
JOURNAL ARTICLE
Sarah de La Motte Watson, Kathryn Puxty, Daisy Moran, David S Morrison, Billy Sloan, Donal Buggy, Ben Shelley
OBJECTIVES: Because of the biologic effects of volatile anesthetics on the immune system and cancer cells, it has been hypothesized that their use during non-small cell lung cancer (NSCLC) surgery may negatively affect cancer outcomes compared with total intravenous anesthesia (TIVA) with propofol. The present study evaluated the relationship between anesthetic technique and dose and oncologic outcome in NSCLC surgery. DESIGN: Retrospective cohort study. SETTING: Surgical records collated from a single, tertiary care hospital and combined with the Scottish Cancer Registry and continuously recorded electronic anesthetic data...
November 2021: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33389161/the-impact-of-total-intravenous-anesthesia-versus-inhalation-anesthesia-on-acute-kidney-injury-after-major-abdominal-surgery-a-propensity-score-analysis
#19
JOURNAL ARTICLE
Bo Rim Kim, Susie Yoon, Gyu Young Song, Seohee Lee, Jae-Hyon Bahk, Karam Nam
PURPOSE: The effect of anesthetic types on postoperative acute kidney injury (AKI) remains unclear particularly in patients undergoing non-cardiac surgery. The purpose of this retrospective study was to compare total intravenous anesthesia (TIVA) and inhalation anesthesia in terms of the risk of AKI after open major abdominal surgery (MAS). METHODS: Adult patients who underwent open MAS (gastrectomy, hepatectomy, colectomy, or pancreatectomy) at our institute from 2016 to 2018 were included...
February 2021: Journal of Anesthesia
https://read.qxmd.com/read/33250433/decrease-of-coronal-optic-nerve-sheath-diameter-is-associated-with-postoperative-cognitive-decline-in-patients-undergoing-carotid-endarterectomy
#20
JOURNAL ARTICLE
Li-Min Zhang, Yan Li, Yun-Ting Zhang, Bao-Xu Zhang, Jing-Zhou Wang, Dong-Xue Zhang
OBJECTIVE: Patients undergoing carotid endarterectomy (CEA) have a significant possibility of developing postoperative cognitive decline (POCD). POCD after surgery could be result from cerebral hypotension induced by cross-clamping or postoperative hyperperfusion. Optic nerve sheath diameter (ONSD) exhibits an excellent correlation with invasive intracranial pressure monitoring, Here, the authors explored the risk factors of POCD in patients undergoing CEA, paying close attention to ONSD to test the hypothesis that decrease of coronal ONSD was related to the incidence of POCD...
August 2021: Journal of Cardiothoracic and Vascular Anesthesia
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