Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly surgical patients

Miller, I.D.; Shelton, Cliff; Lewis, Sharon R; Alderson, Phil; Smith, Andrew F.

doi:10.1002/14651858.cd012317

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…2 Purported advantages over volatile anesthesia include better environmental profile, early discharge, rapid cognitive recovery, and cost. [3][4][5][6][7][8][9][10] There is greater effort needed with repetitive refilling and resetting of syringes, and adjustment of infusion rates by algorithms (since direct plasma concentrations of administered drugs are immeasurable). In addition, TIVA techniques facilitate sedation, and for prolonged surgeries ,even 3 infusion pumps may need managing (eg, propofol, remifentanil and cisatracurium), adding to cognitive strain for the anesthesiologists.…”

Section: Pharmacological Robotsmentioning

confidence: 99%

Robotic Anesthesia: A Vision for 2050

Hemmerling,

Jeffries

2024

Anesthesia &Amp; Analgesia

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The last 2 decades have brought important developments in anesthetic technology, including robotic anesthesia. Anesthesiologists titrate the administration of pharmacological agents to the patients’ physiology and the needs of surgery, using a variety of sophisticated equipment (we use the term “pilots of the human biosphere”). In anesthesia, increased safety seems coupled with increased technology and innovation. This article gives an overview of the technological developments over the past decades, both in terms of pharmacological and mechanical robots, which have laid the groundwork for robotic anesthesia: target-controlled drug infusion systems, closed-loop administration of anesthesia and sedation, mechanical robots for intubation, and the latest development in the world of communication with the arrival of artificial intelligence (AI)–derived chatbots are presented.

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Section: Pharmacological Robotsmentioning

confidence: 99%

Robotic Anesthesia: A Vision for 2050

Hemmerling,

Jeffries

2024

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

show abstract

“…The aim is to produce reviews that are open access and high quality, with transparent and rigorous methodology. The Anaesthesia Group's scope includes: pre‐operative assessment and preparation [1–4]; regional anaesthesia [5]; intra‐operative management [6–8]; and postoperative complications and care, including acute pain management [9,10]. There is also a separate Review Group dedicated to Emergency and Critical Care.…”

Section: Disseminationmentioning

confidence: 99%

The Cochrane Anaesthesia Review Group at 20: achievements and challenges in systematic reviews of evidence in peri‐operative care

et al. 2020

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Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery

Miller

Lewis

Pritchard

et al. 2018

Cochrane Database of Systematic Reviews

180

160

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We are uncertain whether maintenance with propofol-based TIVA or with inhalational agents affect incidences of postoperative delirium, mortality, or length of hospital stay because certainty of the evidence was very low. We found low-certainty evidence that maintenance with propofol-based TIVA may reduce POCD. We were unable to perform meta-analysis for intraoperative hypotension or length of stay in the PACU because of heterogeneity between studies. We identified 11 ongoing studies from clinical trials register searches; inclusion of these studies in future review updates may provide more certainty for the review outcomes.

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Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly surgical patients

Abstract: Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly surgical patients.

Cited by 4 publications

References 30 publications

Robotic Anesthesia: A Vision for 2050

Robotic Anesthesia: A Vision for 2050

The Cochrane Anaesthesia Review Group at 20: achievements and challenges in systematic reviews of evidence in peri‐operative care

Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery

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