Effect of propofol and sevoflurane anesthesia on the optic nerve sheath: systematic review and meta-analysis.

ABSTRACT:

Background

To facilitate the surgical view, laparoscopic and robotic pelvic surgeries require a pneumoperitoneum with the Trendelenburg position, which may result in elevated Intracranial Pressure (ICP). The choice of anesthetic agents may also influence ICP. Ultrasonographic evaluation of the Optic Nerve Sheath Diameter (ONSD) is a promising way to evaluate ICP. In this systematic review, we aimed to evaluate the ONSD, as an indirect estimation of ICP, in patients undergoing laparoscopic/robotic surgeries under pneumoperitoneum and Trendelenburg position.

Methods

A literature search was performed to identify prospective randomized clinical trials in which the primary endpoint was the evaluation of the ONSD using sevoflurane or propofol anesthesia after the onset of pneumope

SUBMITTER: Bertti ROT 

PROVIDER: S-EPMC12268041 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature