Cardiothoracic & vascular anesthesia

Balanced Nonopioid General Anesthesia With Lidocaine Is Associated With Lower Postoperative Complications Compared With Balanced Opioid General Anesthesia With Sufentanil for Cardiac Surgery With Cardiopulmonary Bypass: A Propensity Matched Cohort Study

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

A balanced nonopioid general anesthesia protocol with lidocaine was associated with lower odds of postoperative complication composite outcome based on respiratory failure and confusion.

Study context

Population
Patients undergoing cardiac surgery with CPB, 2019–2021, excluding heart transplantation, left ventricular assistance device and off-pump surgery772 matched per group
Participants
772 vs 772
Exposure
Nonopioid vs Opioid
  • Nonopioidn = 772
  • Opioidn = 772reference
Outcome
Collapsed composite of postoperative complications (respiratory failure and confusion)
Methodological detailspropensity-score matched
  • Propensity-score matched

Main finding

Postoperative composite complications

Odds ratio

0.72

95% CI 0.58–0.92

P = 0.027

Events by group

Nonopioid vs Opioid
OR 0.72 (95% CI 0.58–0.92); P = 0.027

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

AKI, death and hospital LOS

Did not differ between the 2 groups

Original publication

Balanced Nonopioid General Anesthesia With Lidocaine Is Associated With Lower Postoperative Complications Compared With Balanced Opioid General Anesthesia With Sufentanil for Cardiac Surgery With Cardiopulmonary Bypass: A Propensity Matched Cohort Study. Anesth Analg. Published 10 February 2023. doi:10.1213/ane.0000000000006383

Composed by AI from the published abstract and checked against it. How Briefs are made →

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