Skip to main content
. 2021 Apr 27;11(3):110–113. doi: 10.4103/2045-9912.314330

Table 1.

Studies on the use of xenon in preventing POCD after cardiac and non-cardiac surgeries

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.