Hülya T. Söner, Department of Anesthesiology and Reanimation, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
Bayram Güvenç, Department of Anesthesiology and Reanimation, Private Bağlar Hospital, Diyarbakır, Turkey
Ömer Oygen, Department of Anesthesiology and Reanimation, Silvan State Hospital, Diyarbakır, Turkey
Rojda T. Türkan, Department of Anesthesiology and Reanimation, Selahaddin Eyyubi State Hospital, Diyarbakır, Turkey
Fuat Şener, Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
Osman Uzundere, Department of Anesthesiology and Reanimation, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
Kamuran Aydın, Department of Neurosurgery, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
Barış Aslanoğlu, Department of Neurosurgery, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
Feyzi Çelik, Department of Anesthesiology and Reanimation, Faculty of Medicine, Dicle University, Diyarbakır, Turkey
Erhan Gökçek, Department of Anesthesiology and Reanimation, Health Science University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
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.
Keywords: Total intravenous anesthesia. Volatile anesthesia. Pediatric patients.