Copyright © 2025 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{176947,
        author = {Rehana Nazir Rather and Nadish  Rukshar and Rizwana Aashiq},
        title = {THE EVOLVING ROLE OF ANESTHETIC TECHNIQUES IN NEUROSURGERY: TIVA VS. INHALATIONAL AGENTS},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {11},
        number = {11},
        pages = {7759-7764},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=176947},
        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.},
        keywords = {Total Intravenous Anaesthesia (TIVA), Inhalational Anaesthesia, Neurosurgery, Intracranial Pressure (ICP), Brain Relaxation, Hemodynamic Stability},
        month = {May},
        }