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THE EVOLVING ROLE OF ANESTHETIC TECHNIQUES IN NEUROSURGERY: TIVA VS. INHALATIONAL AGENTS

  • Unique Paper ID: 176947
  • Volume: 11
  • Issue: 11
  • PageNo: 7759-7764
  • Abstract:
  • The treatment of anaesthesia in neurosurgery has changed dramatically, and because of its advantageous neurophysiological profile, total intravenous anaesthesia (TIVA) has become the method of choice. To maximise patient outcomes in various neurosurgical scenarios, a comparison of TIVA with inhalational drugs is necessary. The pharmacological, clinical, and procedural consequences of TIVA in comparison to inhalational anaesthesia are the main topics of this review, which examines the changing importance of anaesthetic methods in neurosurgery. To assess the effects of TIVA and inhalational drugs on intracranial pressure (ICP), brain relaxation, haemodynamic stability, neuromonitoring, and postoperative recovery, a narrative synthesis of current clinical investigations, randomised controlled trials, and meta-analyses was carried out. Research indicates that TIVA, which mostly uses propofol and remifentanil, improves brain relaxation, maintains neuromonitoring integrity, and offers better control over intracranial pressure. These factors make TIVA a good option for procedures involving the supratentorial and posterior fossa. Inhalational medications like desflurane and sevoflurane are useful in some situations, but their usage in high-risk neurosurgery situations is restricted because to their correlation with elevated intracranial pressure and postoperative nausea.
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Cite This Article

  • ISSN: 2349-6002
  • Volume: 11
  • Issue: 11
  • PageNo: 7759-7764

THE EVOLVING ROLE OF ANESTHETIC TECHNIQUES IN NEUROSURGERY: TIVA VS. INHALATIONAL AGENTS

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