Efficacy of propofol-based anesthesia against risk of brain swelling during craniotomy: A meta-analysis of randomized controlled studies.

Adult Humans Propofol / adverse effects Postoperative Nausea and Vomiting / epidemiology Anesthetics, Inhalation Brain Edema / epidemiology Craniotomy / adverse effects Anesthesia, Inhalation Brain Injuries, Traumatic Tachycardia Anesthetics, Intravenous / adverse effects
Brain edema Brain swelling Desflurane Isoflurane Propofol Sevoflurane

Journal

Journal of clinical anesthesia
ISSN: 1873-4529
Titre abrégé: J Clin Anesth
Pays: United States
ID NLM: 8812166

Informations de publication

Date de publication:
02 2024
Historique:
received: 13 07 2023
revised: 10 10 2023
accepted: 20 10 2023
medline: 24 11 2023
pubmed: 27 10 2023
entrez: 26 10 2023
Statut: ppublish

Résumé

This meta-analysis aimed to compare the risk of brain swelling during craniotomy between propofol-based and volatile-based anesthesia. Meta-analysis of randomized controlled trials (RCTs). Operating room. Propofol-based anesthesia. Adult patients undergoing craniotomy. Databases, including EMBASE, MEDLINE, Google Scholar, and Cochrane Library, were searched from inception to April 2023. The primary outcome was the risk of brain swelling, while the secondary outcomes included the impact of anesthetic regimens on surgical and recovery outcomes, as well as the risk of hemodynamic instability. Our meta-analysis of 17 RCTs showed a significantly lower risk of brain swelling (risk ratio [RR]: 0.85, p = 0.03, I By reviewing the available evidence, our results demonstrate the beneficial effects of propofol on the risk of brain swelling, ICP, PONV, and intraoperative tachycardia. In emergency craniotomy for traumatic brain injury and subarachnoid hemorrhage, brain swelling showed no significant difference between propofol and volatile agents. Further large-scale studies are warranted for verification.

Identifiants

DOI: 10.1016/j.jclinane.2023.111306 PMID: 37883902
pubmed: 37883902
pii: S0952-8180(23)00256-8
doi: 10.1016/j.jclinane.2023.111306
pii:
doi:

Substances chimiques

Propofol YI7VU623SF
Anesthetics, Inhalation 0
Anesthetics, Intravenous 0

Types de publication

Meta-Analysis Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

111306

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None declared.

Auteurs

Chien-Cheng Liu (CC)

Department of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan; Department of Nursing, College of Medicine, I-Shou University, Kaohsiung City, Taiwan; School of Medicine, I-Shou University, Kaohsiung City, Taiwan.

I-Wen Chen (IW)

Department of Anesthesiology, Chi Mei Medical Center, Liouying, Tainan City, Taiwan.

Ping-Hsin Liu (PH)

Department of Anesthesiology, E-Da Dachang Hospital, I-Shou University, Kaohsiung City, Taiwan.

Jheng-Yan Wu (JY)

Department of Nutrition, Chi Mei Medical Center, Tainan City, Taiwan.

Ting-Hui Liu (TH)

Department of Psychiatry, Chi Mei Medical Center, Tainan City, Taiwan.

Po-Yu Huang (PY)

Department of Internal Medicine, Chi Mei Medical Center, Tainan City, Taiwan.

Chia-Hung Yu (CH)

Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.

Pei-Han Fu (PH)

Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.

Kuo-Chuan Hung (KC)

Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan; School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan. Electronic address: ed102605@gmail.com.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Composés chimiques organiques › Hydrocarbures › Hydrocarbures cycliques › Hydrocarbures aromatiques › Dérivés du benzène › Phénols › Propofol › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes digestifs › Vomissement › Vomissements et nausées postopératoires › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Anesthésiques › Anesthésiques généraux › Anesthésiques par inhalation › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Oedème cérébral › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Craniotomie › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Anesthésie générale › Anesthésie par inhalation › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Lésions traumatiques de l'encéphale › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Tachycardie › Efficacy of propofol-based anesthesia against...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Anesthésiques › Anesthésiques généraux › Anesthésiques intraveineux › Efficacy of propofol-based anesthesia against...