Key result
TIVA links to less PONV with similar blood loss versus inhaled anesthesia during cesarean sections.
Why the study?
Does total intravenous anesthesia compared to inhaled anesthesia improve outcomes in patients receiving general anesthesia for cesarean section?
Observational (n=635)
No
Does total intravenous anesthesia compared to inhaled anesthesia improve outcomes in patients receiving general anesthesia for cesarean section?
Absolute Event Rate: 860% vs 650%
p-value: p=<0.001
TIVA may offer higher maternal satisfaction due to lower PONV rates compared to inhaled anesthesia for cesarean sections, with no significant difference in intraoperative blood loss.
May support TIVA preference to reduce PONV in cesarean GA; retrospective data leave open need for RCTs before practice change.
No abstract yet. The journal hasn't published one we can show.
No takes yet. Share an insight, caveat, or question.
Niwa et al. (2015) conducted an observational in Cesarean section under general anesthesia (n=635). Total Intravenous Anesthesia (TIVA) vs. Neuroleptanesthesia (NLA) was evaluated on Intraoperative blood loss (g) (p=<0.001). In a retrospective analysis and literature review of women undergoing cesarean section under general anesthesia, TIVA was associated with similar intraoperative blood loss compared to inhaled anesthesia but a lower incidence of postoperative nausea and vomiting.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: