Total intravenous anesthesia fails to decrease pulmonary complications after lung resection surgery
In the world of lung resection surgery (LRS), a debate has persisted over whether volatile anesthesia or total intravenous anesthesia (TIVA) holds the upper hand in reducing the risk of postoperative pulmonary complications (PPCs). A recent study conducted at Taipei Veterans General Hospital found no significant difference in the incidence of PPCs in patients undergoing lung resection surgery whether they received TIVA or volatile anesthesia.
This study was published in BMC Anaesthesiology by Fu-Kai-Hsu and colleagues. The researchers' hypothesis was straightforward: they anticipated that TIVA might be associated with a lower incidence of PPCs compared to volatile anesthesia. The study was retrospective and included patients who underwent lung resection surgery at Taipei Veterans General Hospital from January 2016 to December 2020. The patient charts were reviewed, and data on patient characteristics, perioperative features, and postoperative outcomes were meticulously extracted and analyzed. The patients were divided into two groups: TIVA (total intravenous anesthesia) and volatile anesthesia.
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