Comparison of General Anesthesia with Total Intravenous Anesthesia (TIVA) in Patients Undergoing Spine Surgery: A Focus on Hemodynamic Stability and Postoperative Recovery
Keywords:
Total Intravenous Anesthesia (TIVA), general anesthesia, spine surgery, hemodynamic stability, postoperative recovery, extubation time, pain management, nausea and vomiting, anesthesiology, intraoperative monitoring.Abstract
Total Intravenous Anesthesia (TIVA) has gained popularity as an alternative to traditional inhalational anesthesia, particularly in patients undergoing spine surgery, where hemodynamic stability and rapid recovery are critical. This prospective, randomized study compares the effects of general anesthesia (GA) with TIVA in patients undergoing elective spine surgery. We focused on hemodynamic parameters such as blood pressure and heart rate during surgery, as well as postoperative recovery, including time to extubation, pain scores, and the incidence of nausea and vomiting. Our findings suggest that TIVA provided better hemodynamic stability, with less fluctuation in blood pressure and heart rate during the procedure. Additionally, patients in the TIVA group had shorter extubation times and lower pain scores in the immediate postoperative period. The incidence of postoperative nausea and vomiting was also reduced in the TIVA group. These results support TIVA as a favorable anesthetic choice for spine surgery, offering advantages in both intraoperative stability and early recovery.
