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The Impact of Volatile Anesthetic Choice on Postoperative Outcomes of Cardiac Surgery: A Meta-Analysis
Joint Authors
Zorrilla-Vaca, Andres
Núñez-Patiño, Rafael A.
Torres, Valentina
Salazar-Gomez, Yudy
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-29
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Objectives.
To evaluate the impact of volatile anesthetic choice on clinically relevant outcomes of patients undergoing cardiac surgery.
Methods.
Major databases were systematically searched for randomized controlled trials (RCTs) comparing volatile anesthetics (isoflurane versus sevoflurane) in cardiac surgery.
Study-level characteristics, intraoperative events, and postoperative outcomes were extracted from the articles.
Results.
Sixteen RCTs involving 961 patients were included in this meta-analysis.
There were no significant differences between both anesthetics in terms of intensive care unit length of stay (SMD −0.07, 95% CI −0.38 to 0.24, P=0.66), hospital length of stay (SMD 0.06, 95% CI −0.33 to 0.45, P=0.76), time to extubation (SMD 0.29, 95% CI −0.08 to 0.65, P=0.12), S100β (at the end of surgery: SMD 0.08, 95% CI −0.33 to 0.49, P=0.71; 24 hours after surgery: SMD 0.21, 95% CI −0.23 to 0.65, P=0.34), or troponin (at the end of surgery: SMD −1.13, 95% CI −2.39 to 0.13, P=0.08; 24 hours after surgery: SMD 0.74, 95% CI −0.15 to 1.62, P=0.10).
CK-MB was shown to be significantly increased when using isoflurane instead of sevoflurane (SMD 2.16, 95% CI 0.57 to 3.74, P=0.008).
Conclusions.
The volatile anesthetic choice has no significant impact on postoperative outcomes of patients undergoing cardiac surgery.
American Psychological Association (APA)
Zorrilla-Vaca, Andres& Núñez-Patiño, Rafael A.& Torres, Valentina& Salazar-Gomez, Yudy. 2017. The Impact of Volatile Anesthetic Choice on Postoperative Outcomes of Cardiac Surgery: A Meta-Analysis. BioMed Research International،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1138355
Modern Language Association (MLA)
Zorrilla-Vaca, Andres…[et al.]. The Impact of Volatile Anesthetic Choice on Postoperative Outcomes of Cardiac Surgery: A Meta-Analysis. BioMed Research International No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1138355
American Medical Association (AMA)
Zorrilla-Vaca, Andres& Núñez-Patiño, Rafael A.& Torres, Valentina& Salazar-Gomez, Yudy. The Impact of Volatile Anesthetic Choice on Postoperative Outcomes of Cardiac Surgery: A Meta-Analysis. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1138355
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138355