Volatile Versus Intravenous Anesthetics in Cardiac Anesthesia: a Narrative Review.
Cardiac surgery
Desflurane
Propofol
Sevoflurane
Total intravenous anesthesia
Volatile anesthetics
Journal
Current anesthesiology reports
ISSN: 1523-3855
Titre abrégé: Curr Anesthesiol Rep
Pays: United States
ID NLM: 100888957
Informations de publication
Date de publication:
2021
2021
Historique:
accepted:
18
06
2021
pubmed:
20
7
2021
medline:
20
7
2021
entrez:
19
7
2021
Statut:
ppublish
Résumé
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. Volatile anesthetics have been standard of care for general anesthesia for cardiac surgery, especially while using cardiopulmonary bypass. The 2019 published MYRIAD trial was not able to show a difference in mortality or cardiac biomarkers for volatile anesthetics compared to total intravenous anesthesia (TIVA), raising the question of equivalence with respect to patient outcome. Reviewing the literature, the scientific foundation for the belief of clinically relevant conditioning by uninterrupted administration of a volatile anesthetic is weak. TIVA can also be performed safely in patients undergoing cardiac surgery.
Identifiants
pubmed: 34276252
doi: 10.1007/s40140-021-00466-1
pii: 466
pmc: PMC8271298
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
275-283Informations de copyright
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.
Déclaration de conflit d'intérêts
Conflict of InterestThe authors do not have any potential conflicts of interest to disclose.
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