Journal of anesthesia
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Journal of anesthesia · Dec 2022
Comparison of total intravenous with inhalational anesthesia in terms of postoperative delirium and complications in older patients: a nationwide population-based study.
Postoperative delirium incidences are increasing in older adults. A Cochrane Review found no significant difference in the incidence of postoperative delirium between total intravenous anesthesia (TIVA) and inhalational anesthesia (IA). This study evaluated the differences in postoperative delirium and morbidity between patients who underwent either TIVA or IA. ⋯ This study demonstrated that TIVA was related to a slightly decreased postoperative delirium and incidence of morbidity compared to IA.
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Journal of anesthesia · Dec 2022
Preoperative bullae and subsequent pneumothorax in 6605 patients who underwent robotic prostatectomy.
Robotic prostatectomy is the most common surgical approach for treating prostate cancer. Patients undergoing robotic prostatectomy may have bullae, which may rupture leading to pneumothorax. We evaluated the incidence of pneumothorax due to preoperative bullae rupture in robotic prostatectomy. ⋯ In our cohort, there was no incidence of pneumothorax following robotic prostatectomy in patients with preoperative bullae. This result could help in the management of patients with prostate cancer with bullae.