Cardiothoracic & vascular anesthesia

Volatile versus propofol sedation after cardiac valve surgery: a single-center prospective randomized controlled trial

Crit CarePublished Randomised controlled trial

Authors' conclusion

Using volatile sedation is associated with few minutes additional workload in assembling and enables a significantly accelerated evaluation of vulnerable patient groups.

Study context

Population
Patients after open cardiac valve surgery, tertiary university hospital
Comparison
Volatile vs propofol sedation
Primary endpoint
Time to extubation
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

P < 0.001

Further findings

Time to eye-opening · significantly earlier with volatile sedation

P < 0.001

Time to command compliance · significantly earlier with volatile sedation

P < 0.001

Workload (set-up time) of volatile sedation
9:56 · median · ± 4:16 min · min

Workload (set-up time) of volatile sedation

Significantly increased workload with volatile sedation

CPB time

CPB time did not differ between the groups
  • 101 (IQR 81; 113) versus 112 (IQR 79; 136) minutes
  • p = 0.36

Safety

No differences in complications

Original publication

Volatile versus propofol sedation after cardiac valve surgery: a single-center prospective randomized controlled trial. Crit Care. Published 5 April 2024. doi:10.1186/s13054-024-04899-y

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