Total intravenous anesthesia or volatile anesthesia in pediatric neuroanesthesia applications: retrospective study Anestesia total intravenosa o anestesia volátil en aplicaciones de neuroanestesia pediátrica: estudio retrospectivo
Cirugia y Cirujanos, cilt.94, sa.2, ss.189-196, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 94 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.24875/ciru.24000178
- Dergi Adı: Cirugia y Cirujanos
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals, Biomedical Reference Collection: Corporate Edition (EBSCO)
- Sayfa Sayıları: ss.189-196
- Anahtar Kelimeler: intravenous anesthesia, Volatile anesthesia, Pediatric patients
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The primary objective of this study was to assess the effects of preferred anesthesia methods on perioperative hemodynamics in pediatric patients undergoing neurosurgery. Method: This retrospective and cross-sectional study included all pediatric patients undergoing brain surgery at Dicle University Hospital between January 2018 and December 2023. Group 1 received sevoflurane and remifentanil anesthesia, whereas Group 2 received propofol and remifentanil anesthesia. Perioperative hemodynamic parameters, post-operative outcomes, mortality rates, use of inotropic agents, and laboratory values of the patients were collected. Results: A total of 840 patients were included in the study. When comparing perioperative heart rate values between the groups, patients in Group 1 exhibited significantly higher heart rates. In addition, when evaluating mean arterial pressure (MAP), it was found that patients in Group 1 had lower MAP values compared to those in Group 2. Conclusions: Based on the results obtained in the present study, we recommend the use of total intravenous anesthesia in pediatric patients undergoing brain surgery due to its ability to provide more stable hemodynamics during the perioperative period.