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Updated: May 27, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Total intravenous anesthesia or volatile anesthesia in pediatric neuroanesthesia applications: retrospective study
Hülya T Söner1, Bayram Güvenç2, Ömer Oygen3
1Department of Anesthesiology and Reanimation, Health Science University, Gazi Yaşargil Training and Research Hospital.
Objective:
The primary objective of this study was to assess the effects of preferred anesthesia methods on perioperative hemodynamics in pediatric patients undergoing neurosurgery.
Method:
This retrospective and cross-sectional study included all pediatric patients undergoing brain surgery at Dicle University Hospital between January 2018 and December 2023. Group 1 received sevoflurane and remifentanil anesthesia, whereas Group 2 received propofol and remifentanil anesthesia. Perioperative hemodynamic parameters, post-operative outcomes, mortality rates, use of inotropic agents, and laboratory values of the patients were collected.
Results:
A total of 840 patients were included in the study. When comparing perioperative heart rate values between the groups, patients in Group 1 exhibited significantly higher heart rates. In addition, when evaluating mean arterial pressure (MAP), it was found that patients in Group 1 had lower MAP values compared to those in Group 2.
Conclusions:
Based on the results obtained in the present study, we recommend the use of total intravenous anesthesia in pediatric patients undergoing brain surgery due to its ability to provide more stable hemodynamics during the perioperative period.
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