A Trial of Two Anesthetic Regimes for Minimally Invasive Mitral Valve Repair

Moscarelli, Marco; Terrasini, Nora; Nunziata, Angelina; Punjabi, Prakash P; Angelini, Gianni; Solinas, Marco; Buselli, Alba; Sarto, Paolo Del; Haxhiademi, Dorela

doi:10.1053/j.jvca.2018.01.028

Cited by 7 publications

(2 citation statements)

References 21 publications

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“…RCTs involving 365 patients undergoing valve surgery reported similar [31][32][33] or decreased [34 & ,35] cardiac biomarkers, better hemodynamic variables [35], and shorter duration of mechanical ventilation [32,34 & ,35] and ICU and hospital LOS [33,35] in the VA (sevoflurane or desflurane) group compared with pTIVA [31,32,34 & ] (see Table 1).…”

Section: Key Pointsmentioning

confidence: 99%

“…The timing, duration, dosing, and type of VA used varied among trials and retrospective observational studies. Surgical factors such as type of surgery [13 ▪ ], aortic cross clamp time [13 ▪ ,32], and type of cardioplegia [37 ▪ ] may also influence postoperative myocardial function. In addition, patient-related factors such as age, sex, associated comorbidities and medications taken may have played a role in APC [73,74] (Fig.…”

Section: Implications For Future Studiesmentioning

confidence: 99%

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Inhalational or total intravenous anesthetic for cardiac surgery: does the debate even exist?

Makkad

Heinke

Kertai

2021

Current Opinion in Anaesthesiology

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Purpose of reviewPerioperative myocardial injury related to cardiac surgery is associated with organ dysfunction and increased mortality. Volatile anesthetics (VA) have been used during cardiac surgery for decades because of their direct and indirect preconditioning and protection against ischemia-reperfusion injury. The current review provides a summary of the latest literature comparing pharmacological preconditioning and the potential benefits of using VA versus total intravenous anesthesia (TIVA) for general anesthesia to improve outcomes after cardiac surgery. Recent findingsRecent literature reports lower mortality and better outcomes when VA is used alone or in combination with remote ischemic preconditioning compared with groups receiving TIVA. However, inconsistent research findings over the years have led to continued debate regarding the anesthetic technique considered more favorable for cardiac surgery.

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