Cardiothoracic & vascular anesthesia

Effect of volatile versus propofol anaesthesia on major complications and mortality after cardiac surgery: a multicentre randomised trial

Br J AnaesthPublished Randomised controlled trial

Authors' conclusion

Among adults undergoing cardiac surgery, we found no difference in the clinical effectiveness of volatile anaesthesia and propofol-based TIVA.

Study context

Population
Adults undergoing elective cardiac surgery in 16 tertiary hospitals in China3,083 in modified ITT analysis
Participants
3,123 adults
Comparison
Volatile anaesthesia vs propofol-based total intravenous anaesthesia (TIVA)
  • Volatilen = 1,531
  • TIVAn = 1,552reference
Primary endpoint
Composite of:
  • Predefined major complications during hospitalisation
  • Mortality 30 days after surgery
Follow-up
30 days
Methodological detailsmulticentre, 1:1 randomisation
  • Multicentre
  • 1:1 randomisation

Primary result

As reported in the abstract

Each group vs TIVAEstimate (CI)P value
Volatile
RR 1.02(0.92–1.12)
P = 0.76
Volatile
aOR 1.05(0.90–1.22)
P = 0.57

Secondary outcomes

6-month and 1-yr mortality, duration of mechanical ventilation, ICU and hospital LOS, healthcare costs

Similar for the two groups

Original publication

Effect of volatile versus propofol anaesthesia on major complications and mortality after cardiac surgery: a multicentre randomised trial. Br J Anaesth. Published 5 June 2024. doi:10.1016/j.bja.2024.05.008

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