Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review

Recent research has contested the previously accepted paradigm that volatile anaesthetics improve outcomes in cardiac surgery patients when compared to intravenous anaesthesia. In this review we summarise the mechanisms of myocardial ischaemia/reperfusion injury and cardioprotection in cardiac surge...

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Autores principales: Ștefan, Mihai, Predoi, Cornelia, Goicea, Raluca, Filipescu, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604446/
https://www.ncbi.nlm.nih.gov/pubmed/36294353
http://dx.doi.org/10.3390/jcm11206031
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author Ștefan, Mihai
Predoi, Cornelia
Goicea, Raluca
Filipescu, Daniela
author_facet Ștefan, Mihai
Predoi, Cornelia
Goicea, Raluca
Filipescu, Daniela
author_sort Ștefan, Mihai
collection PubMed
description Recent research has contested the previously accepted paradigm that volatile anaesthetics improve outcomes in cardiac surgery patients when compared to intravenous anaesthesia. In this review we summarise the mechanisms of myocardial ischaemia/reperfusion injury and cardioprotection in cardiac surgery. In addition, we make a comprehensive analysis of evidence comparing outcomes in patients undergoing cardiac surgery under volatile or intravenous anaesthesia, in terms of mortality and morbidity (cardiac, neurological, renal, pulmonary).
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spelling pubmed-96044462022-10-27 Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review Ștefan, Mihai Predoi, Cornelia Goicea, Raluca Filipescu, Daniela J Clin Med Review Recent research has contested the previously accepted paradigm that volatile anaesthetics improve outcomes in cardiac surgery patients when compared to intravenous anaesthesia. In this review we summarise the mechanisms of myocardial ischaemia/reperfusion injury and cardioprotection in cardiac surgery. In addition, we make a comprehensive analysis of evidence comparing outcomes in patients undergoing cardiac surgery under volatile or intravenous anaesthesia, in terms of mortality and morbidity (cardiac, neurological, renal, pulmonary). MDPI 2022-10-13 /pmc/articles/PMC9604446/ /pubmed/36294353 http://dx.doi.org/10.3390/jcm11206031 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Ștefan, Mihai
Predoi, Cornelia
Goicea, Raluca
Filipescu, Daniela
Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title_full Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title_fullStr Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title_full_unstemmed Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title_short Volatile Anaesthesia versus Total Intravenous Anaesthesia for Cardiac Surgery—A Narrative Review
title_sort volatile anaesthesia versus total intravenous anaesthesia for cardiac surgery—a narrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604446/
https://www.ncbi.nlm.nih.gov/pubmed/36294353
http://dx.doi.org/10.3390/jcm11206031
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AT goicearaluca volatileanaesthesiaversustotalintravenousanaesthesiaforcardiacsurgeryanarrativereview
AT filipescudaniela volatileanaesthesiaversustotalintravenousanaesthesiaforcardiacsurgeryanarrativereview

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