Total intravenous anesthesia versus inhalation anesthesia: how do outcomes compare?
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Aug 2023
01 Aug 2023
Historique:
medline:
12
7
2023
pubmed:
20
6
2023
entrez:
20
6
2023
Statut:
ppublish
Résumé
Surgical 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. There 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. In 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.
Identifiants
pubmed: 37338939
doi: 10.1097/ACO.0000000000001274
pii: 00001503-202308000-00005
doi:
Substances chimiques
Propofol
YI7VU623SF
Anesthetics, Intravenous
0
Anesthetics, Inhalation
0
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
399-406Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Références
Meara JG, Leather AJ, Hagander L, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Am J Obstet Gynecol 2015; 213:338–340.
Anderson BJ, Bagshaw O. Practicalities of total intravenous anesthesia and target-controlled infusion in children. Anesthesiology 2019; 131:164–185.
Wong GTC, Choi SW, Tran DH, et al. An international survey evaluating factors influencing the use of total intravenous anaesthesia. Anaesth Intensive Care 2018; 46:332–338.
Kampmeier T, Rehberg S, Omar Alsaleh AJ, et al. Cost-effectiveness of propofol (diprivan) versus inhalational anesthetics to maintain general anesthesia in noncardiac surgery in the United States. Value Health 2021; 24:939–947.
Egan TD, Westphal M, Minto CF, Schnider TW. Moving from dose to concentration: as easy as TCI!. Br J Anaesth 2020; 125:847–849.
Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg 2020; 131:411–448.
Miller D, Lewis SR, Pritchard MW, et al. Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing noncardiac surgery. Cochrane Database Syst Rev 2018; 8:CD012317.
Ramirez MF, Cata JP. Anesthesia techniques and long-term oncological outcomes. Front Oncol 2021; 11:788918.
Varughese S, Ahmed R. Environmental and occupational considerations of anesthesia: a narrative review and update. Anesth Analg 2021; 133:826–835.
Gan TJ. Postoperative nausea and vomiting—can it be eliminated? JAMA 2002; 287:1233–1236.
Gan TJ. Risk factors for postoperative nausea and vomiting. Anesth Analg 2006; 102:1884–1898.
Stadler M, Bardiau F, Seidel L, et al. Difference in risk factors for postoperative nausea and vomiting. Anesthesiology 2003; 98:46–52.
Aftab S, Khan AB, Raza G. Assessment of risk factors for postoperative nausea and vomiting. J Coll Physicians Surg Pak 2008; 18:137–141.
Choi SU. Is postoperative nausea and vomiting still the big ‘little’ problem? Korean J Anesthesiol 2016; 69:1–2.
Apfel CC, Korttila K, Abdalla M, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med 2004; 350:2441–2451.
Gan TJ, Glass PS, Howell ST, et al. Determination of plasma concentrations of propofol associated with 50% reduction in postoperative nausea. Anesthesiology 1997; 87:779–784.
Habib AS, Gan TJ. Pharmacotherapy of postoperative nausea and vomiting. Expert Opin Pharmacother 2003; 4:457–473.
Gan TJ, Ginsberg B, Grant AP, Glass PS. Double-blind, randomized comparison of ondansetron and intraoperative propofol to prevent postoperative nausea and vomiting. Anesthesiology 1996; 85:1036–1042.
Schaefer MS, Kranke P, Weibel S, et al. Total intravenous anaesthesia versus single-drug pharmacological antiemetic prophylaxis in adults: a systematic review and meta-analysis. Eur J Anaesthesiol 2016; 33:750–760.
Taniguchi T, Kanakura H, Yamamoto K. Effects of posttreatment with propofol on mortality and cytokine responses to endotoxin-induced shock in rats. Crit Care Med 2002; 30:904–907.
Hsiao HT, Liu YY, Wang JC, et al. The analgesic effect of propofol associated with the inhibition of hypoxia inducible factor and inflammasome in complex regional pain syndrome. J Biomed Sci 2019; 26:74.
Kingston S, Mao L, Yang L, et al. Propofol inhibits phosphorylation of N -methyl- d -aspartate receptor NR1 subunits in neurons. Anesthesiology 2006; 104:763–769.
Antognini JF, Wang XW, Piercy M, Carstens E. Propofol directly depresses lumbar dorsal horn neuronal responses to noxious stimulation in goats. Can J Anaesth 2000; 47:273–279.
Guindon J, LoVerme J, Piomelli D, Beaulieu P. The antinociceptive effects of local injections of propofol in rats are mediated in part by cannabinoid CB1 and CB2 receptors. Anesth Analg 2007; 104:1563–1569. table of contents.
Bandschapp O, Filitz J, Ihmsen H, et al. Analgesic and antihyperalgesic properties of propofol in a human pain model. Anesthesiology 2010; 113:421–428.
Ji FH, Wang D, Zhang J, et al. Effects of propofol anesthesia versus sevoflurane anesthesia on postoperative pain after radical gastrectomy: a randomized controlled trial. J Pain Res 2018; 11:1247–1254.
Chan AC, Qiu Q, Choi SW, et al. Effects of intra-operative total intravenous anaesthesia with propofol versus inhalational anaesthesia with sevoflurane on post-operative pain in liver surgery: a retrospective case–control study. PLoS One 2016; 11:e0149753.
Lin WL, Lee MS, Wong CS, et al. Effects of intraoperative propofol-based total intravenous anesthesia on postoperative pain in spine surgery: comparison with desflurane anesthesia – a randomised trial. Medicine (Baltimore) 2019; 98:e15074.
Jo JY, Kim YJ, Choi SS, et al. A prospective randomized comparison of postoperative pain and complications after thyroidectomy under different anesthetic techniques: volatile anesthesia versus total intravenous anesthesia. Pain Res Manag 2021; 2021:8876906.
Wong SSC, Choi SW, Lee Y, et al. The analgesic effects of intraoperative total intravenous anesthesia (TIVA) with propofol versus sevoflurane after colorectal surgery. Medicine (Baltimore) 2018; 97:e11615.
Gornall BF, Myles PS, Smith CL, et al. Measurement of quality of recovery using the QoR-40: a quantitative systematic review. Br J Anaesth 2013; 111:161–169.
Kim SH, Ju HM, Choi CH, et al. Inhalational versus intravenous maintenance of anesthesia for quality of recovery in patients undergoing corrective lower limb osteotomy: a randomized controlled trial. PLoS One 2021; 16:e0247089.
Myles PS, Hunt JO, Fletcher H, et al. Relation between quality of recovery in hospital and quality of life at 3 months after cardiac surgery. Anesthesiology 2001; 95:862–867.
Monk TG, Weldon BC, Garvan CW, et al. Predictors of cognitive dysfunction after major noncardiac surgery. Anesthesiology 2008; 108:18–30.
Flynn DN, Speck RM, Mahmoud NN, et al. The impact of complications following open colectomy on hospital finances: a retrospective cohort study. Perioper Med (Lond) 2014; 3:1.
Liu T, Gu Y, Chen K, Shen X. Quality of recovery in patients undergoing endoscopic sinus surgery after general anesthesia: total intravenous anesthesia vs desflurane anesthesia. Int Forum Allergy Rhinol 2019; 9:248–254.
Na SH, Jeong KH, Eum D, et al. Patient quality of recovery on the day of surgery after propofol total intravenous anesthesia for vitrectomy: a randomized controlled trial. Medicine (Baltimore) 2018; 97:e12699.
Lee WK, Kim MS, Kang SW, et al. Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol-remifentanil total i.v. anaesthesia with desflurane anaesthesia. Br J Anaesth 2015; 114:663–668.
Joe YE, Kang CM, Lee HM, et al. Quality of recovery of patients who underwent curative pancreatectomy: comparison of total intravenous anesthesia versus inhalation anesthesia using the QOR-40 questionnaire. World J Surg 2021; 45:2581–2590.
Moro ET, Leme FC, Noronha BR, et al. Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial. J Clin Anesth 2016; 35:369–375.
De Oliveira GS Jr, Bialek J, Rodes ME, et al. The effect of sevoflurane compared to propofol maintenance on postsurgical quality of recovery in patients undergoing an ambulatory gynecological surgery: a prospective, randomized, double-blinded, controlled, clinical trial. J Clin Anesth 2017; 43:70–74.
Carli D, Meletti JFA, Neto NEU, et al. General anesthesia technique and perception of quality of postoperative recovery in women undergoing cholecystectomy: a randomized, double-blinded clinical trial. PLoS One 2020; 15:e0228805.
Shui M, Xue Z, Miao X, et al. Intravenous versus inhalational maintenance of anesthesia for quality of recovery in adult patients undergoing noncardiac surgery: a systematic review with meta-analysis and trial sequential analysis. PLoS One 2021; 16:e0254271.
Evered L, Silbert B, Knopman DS, et al. Recommendations for the nomenclature of cognitive change associated with anaesthesia and surgery-2018. Br J Anaesth 2018; 121:1005–1012.
Vasilevskis EE, Han JH, Hughes CG, Ely EW. Epidemiology and risk factors for delirium across hospital settings. Best Pract Res Clin Anaesthesiol 2012; 26:277–287.
Deiner S, Silverstein JH. Postoperative delirium and cognitive dysfunction. Br J Anaesth 2009; 103: (Suppl 1): i41–i46.
Lian F, Cao C, Deng F, et al. Propofol alleviates postoperative cognitive dysfunction by inhibiting inflammation via up-regulating miR-223-3p in aged rats. Cytokine 2022; 150:155783.
Qiao Y, Feng H, Zhao T, et al. Postoperative cognitive dysfunction after inhalational anesthesia in elderly patients undergoing major surgery: the influence of anesthetic technique, cerebral injury and systemic inflammation. BMC Anesthesiol 2015; 15:154.
Zhang Y, Shan GJ, Zhang YX, et al. Propofol compared with sevoflurane general anaesthesia is associated with decreased delayed neurocognitive recovery in older adults. Br J Anaesth 2018; 121:595–604.
Lu X, Jin X, Yang S, Xia Y. The correlation of the depth of anesthesia and postoperative cognitive impairment: a meta-analysis based on randomized controlled trials. J Clin Anesth 2018; 45:55–59.
Li Y, Chen D, Wang H, et al. Intravenous versus volatile anesthetic effects on postoperative cognition in elderly patients undergoing laparoscopic abdominal surgery. Anesthesiology 2021; 134:381–394.
Kletecka J, Holeckova I, Brenkus P, et al. Propofol versus sevoflurane anaesthesia: effect on cognitive decline and event-related potentials. J Clin Monit Comput 2019; 33:665–673.
Benzonana LL, Perry NJ, Watts HR, et al. Isoflurane, a commonly used volatile anesthetic, enhances renal cancer growth and malignant potential via the hypoxia-inducible factor cellular signaling pathway in vitro. Anesthesiology 2013; 119:593–605.
Zhu M, Li M, Zhou Y, et al. Isoflurane enhances the malignant potential of glioblastoma stem cells by promoting their viability, mobility in vitro and migratory capacity in vivo. Br J Anaesth 2016; 116:870–877.
Tazawa K, Koutsogiannaki S, Chamberlain M, Yuki K. The effect of different anesthetics on tumor cytotoxicity by natural killer cells. Toxicol Lett 2017; 266:23–31.
Miao Y, Zhang Y, Wan H, et al. GABA-receptor agonist, propofol inhibits invasion of colon carcinoma cells. Biomed Pharmacother 2010; 64:583–588.
Wu KC, Yang ST, Hsia TC, et al. Suppression of cell invasion and migration by propofol are involved in down-regulating matrix metalloproteinase-2 and p38 MAPK signaling in A549 human lung adenocarcinoma epithelial cells. Anticancer Res 2012; 32:4833–4842.
Sessler DI, Pei L, Huang Y, et al. Recurrence of breast cancer after regional or general anaesthesia: a randomised controlled trial. Lancet 2019; 394:1807–1815.
McGain F, Sheridan N, Wickramarachchi K, et al. Carbon footprint of general, regional, and combined anesthesia for total knee replacements. Anesthesiology 2021; 135:976–991.
Makito K, Matsui H, Fushimi K, Yasunaga H. Volatile versus total intravenous anesthesia for cancer prognosis in patients having digestive cancer surgery. Anesthesiology 2020; 133:764–773.
Lai HC, Lee MS, Lin KT, et al. Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in intrahepatic cholangiocarcinoma surgery. Medicine (Baltimore) 2019; 98:e18472.
Koo BW, Lim DJ, Oh AY, Na HS. Retrospective comparison between the effects of propofol and inhalation anesthetics on postoperative recurrence of early- and intermediate-stage hepatocellular carcinoma. Med Princ Pract 2020; 29:422–428.
Oh TK, Kim HH, Jeon YT. Retrospective analysis of 1-year mortality after gastric cancer surgery: total intravenous anesthesia versus volatile anesthesia. Acta Anaesthesiol Scand 2019; 63:1169–1177.
Zheng X, Wang Y, Dong L, et al. Effects of propofol-based total intravenous anesthesia on gastric cancer: a retrospective study. Onco Targets Ther 2018; 11:1141–1148.
Jun IJ, Jo JY, Kim JI, et al. Impact of anesthetic agents on overall and recurrence-free survival in patients undergoing esophageal cancer surgery: a retrospective observational study. Sci Rep 2017; 7:14020.
Wu ZF, Lee MS, Wong CS, et al. Propofol-based total intravenous anesthesia is associated with better survival than desflurane anesthesia in colon cancer surgery. Anesthesiology 2018; 129:932–941.
Oh TK, Kim K, Jheon S, et al. Long-term oncologic outcomes for patients undergoing volatile versus intravenous anesthesia for non-small cell lung cancer surgery: a retrospective propensity matching analysis. Cancer Control 2018; 25: 1073274818775360.
Grau SJ, Lohr M, Taurisano V, et al. The choice of anaesthesia for glioblastoma surgery does not impact the time to recurrence. Sci Rep 2020; 10:5556.
Dong J, Zeng M, Ji N, et al. Impact of anesthesia on long-term outcomes in patients with supratentorial high-grade glioma undergoing tumor resection: a retrospective cohort study. J Neurosurg Anesthesiol 2020; 32:227–233.
Cata JP, Nguyen LT, Ifeanyi-Pillette IC, et al. An assessment of the survival impact of multimodal anesthesia/analgesia technique in adults undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a propensity score matched analysis. Int J Hyperthermia 2019; 36:369–375.
Enlund M, Berglund A, Ahlstrand R, et al. Survival after primary breast cancer surgery following propofol or sevoflurane general anesthesia-A retrospective, multicenter, database analysis of 6305 Swedish patients. Acta Anaesthesiol Scand 2020; 64:1048–1054.
Yoo S, Lee HB, Han W, et al. Total intravenous anesthesia versus inhalation anesthesia for breast cancer surgery: a retrospective cohort study. Anesthesiology 2019; 130:31–40.
Huang YH, Lee MS, Lou YS, et al. Propofol-based total intravenous anesthesia did not improve survival compared to desflurane anesthesia in breast cancer surgery. PLoS One 2019; 14:e0224728.
Kim MH, Kim DW, Kim JH, et al. Does the type of anesthesia really affect the recurrence-free survival after breast cancer surgery? Oncotarget 2017; 8:90477–90487.
Lee JH, Kang SH, Kim Y, et al. Effects of propofol-based total intravenous anesthesia on recurrence and overall survival in patients after modified radical mastectomy: a retrospective study. Korean J Anesthesiol 2016; 69:126–132.
Wigmore TJ, Mohammed K, Jhanji S. Long-term survival for patients undergoing volatile versus IV anesthesia for cancer surgery: a retrospective analysis. Anesthesiology 2016; 124:69–79.
Enlund M, Berglund A, Enlund A, Bergkvist L. Volatile versus propofol general anesthesia and long-term survival after breast cancer surgery: a national registry retrospective cohort study. Anesthesiology 2022; 137:315–326.
Yan T, Zhang GH, Wang BN, et al. Effects of propofol/remifentanil-based total intravenous anesthesia versus sevoflurane-based inhalational anesthesia on the release of VEGF-C and TGF-beta and prognosis after breast cancer surgery: a prospective, randomized and controlled study. BMC Anesthesiol 2018; 18:131.
Xu Q, Shi NJ, Zhang H, Zhu YM. Effects of combined general-epidural anesthesia and total intravenous anesthesia on cellular immunity and prognosis in patients with nonsmall cell lung cancer: a comparative study. Mol Med Rep 2017; 16:4445–4454.