Pediatric anesthesia & critical care

The Anti-Inflammatory and Antioxidant Effects of Propofol and Sevoflurane in Children With Cyanotic Congenital Heart Disease

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

The results showed that propofol provided a greater antioxidant effect and reduced SIRS postoperatively more than sevoflurane in children with CCHD undergoing cardiac surgery.

Study context

Population
Children aged 1–10 years with cyanotic congenital heart disease (CCHD) undergoing elective cardiac surgery with CPB
Comparison
Propofol vs sevoflurane GA
Methodological detailsprospective, double-blind, single-centre
  • Prospective
  • Double-blind
  • Single-centre

Primary result

As reported in the abstract

Anti-inflammatory and antioxidant effects (systemic inflammatory response syndrome (SIRS), IL-6, TNF-α, total antioxidant status (TAS), TOS)
  • No significant differences between groups in mean TNF-α and IL-6 levels at any time
  • Group S vs group P: P = 0.020
  • Group S vs group P: P = 0.036
  • Group S vs group P: P = 0.004
  • Group S vs group P: P = 0.008
  • Group P vs group S: P = 0.036
  • Group P vs group S: P = 0.041

Original publication

The Anti-Inflammatory and Antioxidant Effects of Propofol and Sevoflurane in Children With Cyanotic Congenital Heart Disease. J Cardiothorac Vasc Anesth. Published 30 September 2022. doi:10.1053/j.jvca.2022.09.094

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