Anesthetic drugs & techniques

Safety and recovery profile of patients after inhalational anaesthesia versus target-controlled or manual total intravenous anaesthesia: a systematic review and meta-analysis of randomised controlled trials

Br J AnaesthPublished Systematic review and meta-analysis of randomised controlled trials

Pooled result · ClassIntra grade 3-4 adverse eventsResult — go to the resultRelative risk 1.00 95% CI 0.88–1.12

Authors' conclusion

TIVA and IA are comparably safe, with TIVA reducing PONV and agitation, whereas IA offers faster recovery and lower costs.

Study context

Population
Patients undergoing GA in RCTs comparing total intravenous anaesthesia (TIVA) and inhalational anaesthesia (IA)385 RCTs
Comparison
TIVA vs IA
Outcome
ClassIntra grade 3-4 adverse events
Methodological detailssubgroup analyses
  • Subgroup analyses

Pooled result

As reported in the abstract

Relative risk

1.00

95% CI 0.88–1.12

P = 0.97

TIVA vs IA
RR 1.00 (95% CI 0.88–1.12); P = 0.97

Further pooled results

OutcomeRR (95% CI)P value
ClassIntra grade 3-4 adverse events, TCI vs manual infusion (subgroup)TCI vs IA0.89 (0.66–1.21)P = 0.46
ClassIntra grade 3-4 adverse events, TCI vs manual infusion (subgroup)Manual infusion vs IA1.03 (0.90–1.17)P = 0.70

Recovery times and costs

IA favoured

Postoperative nausea and vomiting (PONV) and agitation on emergence

TIVA favoured

Other outcomes

No statistical difference

Original publication

Safety and recovery profile of patients after inhalational anaesthesia versus target-controlled or manual total intravenous anaesthesia: a systematic review and meta-analysis of randomised controlled trials. Br J Anaesth. Published 11 March 2025. doi:10.1016/j.bja.2025.02.007

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

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