Total intravenous anesthesia or volatile anesthesia in pediatric neuroanesthesia applications: retrospective study

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.