Volatile Anesthetics vs. Total Intravenous Anesthesia for Cardiac Surgery

The ‘cardioprotective’ effects of volatile anesthesia gases have been seen as useful during coronary artery bypass surgery (CABG). This controlled study in elective CABG compared volatile anesthesia with total intravenous anesthesia (TIVA) and found no difference in 30 day or 1 year mortality.

The findings are important as anesthetic gases have been even recommended as useful in American and European guidelines, based on known cellular protective effects and effects on cardiac biomarkers, and suggested by previous observational and meta-analysis studies.

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