Key result
Propofol shows comparable hemodynamics to sevoflurane except for lower MAP, HR, and SVRI after pneumoperitoneum.
Why the study?
Pneumoperitoneum combined with steep Trendelenburg position during robotic pelvic surgery affects cardiovascular function and may cause perioperative complications, but the impact of anesthesia type on central hemodynamics remained unclear.
Does total intravenous anesthesia with propofol compared to inhalation anesthesia with sevoflurane affect central hemodynamic parameters during robot-assisted radical prostatectomy in ASA II and III patients?
Observational (n=57)
Does total intravenous anesthesia with propofol compared to inhalation anesthesia with sevoflurane affect central hemodynamic parameters during robot-assisted radical prostatectomy in ASA II and III patients?
The type of general anesthesia (propofol TIVA vs sevoflurane) does not significantly impact the risk of hemodynamic complications during robot-assisted radical prostatectomy, which are primarily driven by pneumoperitoneum and steep Trendelenburg position.
Supports flexible anesthetic selection in robotic prostatectomy; leaves open randomized confirmation of hemodynamic equivalence.
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Лутфарахманов et al. (2020) conducted an observational in Robot-assisted radical prostatectomy (n=57). Total intravenous anesthesia with propofol vs. Inhalation anesthesia with sevoflurane was evaluated on Central hemodynamic parameters (mean arterial pressure, heart rate, cardiac index, systemic vascular resistance index). Total intravenous anesthesia with propofol yielded comparable central hemodynamic parameters to sevoflurane during robot-assisted radical prostatectomy, except for lower MAP, HR, and SVRI after pneumoperitoneum (p<0.05).
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