Inhaled anesthesia in neurosurgery: Still a role?
Por:
Badenes R, Nato C, Pena J, Bilotta F
Publicada:
1 jul 2021
Ahead of Print:
1 may 2021
Resumen:
In patients undergoing craniotomy, general anesthesia should be addressed to warrant good hypnosis, immobility, and analgesia, to ensure systemic and cerebral physiological status and provide the best possible surgical field. Regarding craniotomies, it is unclear if there are substantial differences in providing general anesthesia using total intravenous anesthesia (TIVA) or balanced anesthesia (BA) accomplished using the third generation halogenates. New evidence highlighted that the last generation of halogenated agents has possible advantages compared with intravenous drugs: rapid induction, minimal absorption and metabolization, reproducible pharmacokinetic, faster recovery, cardioprotective effect, and opioid spare analgesia. This review aims to report evidence related to the use of the latest halogenated agents in patients undergoing craniotomy and to present available clinical evidence on their effects: cerebral and systemic hemodynamic, neurophysiological monitoring, and timing and quality of recovery after anesthesia. (c) 2020 Elsevier Ltd. All rights reserved.
Filiaciones:
Badenes R:
Univ Valencia, Hosp Clin Univ Valencia, Dept Anesthesiol & Surg Trauma Intens Care, Valencia, Spain
Nato C:
Sapienza Univ Rome, Dept Anesthesiol Crit Care & Pain Med, Rome, Italy
Pena J:
North Western Med Univ, Dept Anesthesiol, St Petersburg, Russia
Bilotta F:
Sapienza Univ Rome, Dept Anesthesiol Crit Care & Pain Med, Rome, Italy
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