Table 1.
Authors/year | Type of study | Number of patients included | Type of surgery | Outcomes/conclusion |
---|---|---|---|---|
Coburn et al.28/2007 | Randomized, double- blinded, controlled study | 38 (20-desflurane, 18-xenon) | Non-cardiac | Although xenon was associated with a faster emergence from general anaesthesia than desflurane there was no difference in the postoperative cognitive testing at 6–12 and 66–72 h. |
Bronco et al.29/2010 | RCT | 60 (30 in each group, sevoflurane and xenon) | Non-cardiac | Xenon anaesthesia was associated with faster emergence and with better early postoperative cognitive recovery than sevoflurane anaesthesia. |
Cremer et al.30/2011 | Double-blinded randomized controlled trial | 40 (20-sevoflurane, 20-xenon) | Non-cardiac | No difference in the incidence of POCD after xenon or sevoflurane anaesthesia although emergence from general anaesthesia was faster in the xenon group. |
Stoppe et al.27/2013 | Randomized, single-blind controlled trial | 30 (15-xenon, 15-sevoflurane) | Cardiac (CPB) | The assessment of POCD by the CAM-ICU score revealed comparable incidences of delirium between the xenon and sevoflurane groups |
Al Tmimi et al.25/2015 | Randomized, observer-blind, controlled clinical trial | 45 | Cardiac (OPCAB) | Xenon anesthesia was associated with a lower risk for POD |
Coburn et al.31/2018 | Multicentre, randomized clinical trial | 256 (124-xenon, 132-sevoflurane) | Hip surgeries | Xenon anaesthesia did not significantly reduce the incidence of postoperative delirium after hip fracture surgery |
Al Tmimi et al.26/2020 | Randomized, observer-blind, controlled trial | 190 | Cardiac (CPB) | Xenon anaesthesia did not result in a significant reduction in POD |
Note: CAM-ICU: Confusion assessment method for intensive care unit; CPB: cardiopulmonary bypass; OPCAB: off pump coronary artery bypass; POCD: postoperative cognitive dysfunction; POD: postoperative delirium; RCT: randomized controlled trial.