Conclusions
PONV, intracranial hypertension, tachycardia
In conclusion, among patients undergoing elective craniotomy without severe intracranial hypertension, desflurane anesthesia and TIVA provide similar brain relaxation assessed by the neurosurgeons using a 4-point scale. Desflurane anesthesia provides faster recovery but is associated with increased PONV and tachycardia during the recovery period. Therefore, we should fully balance the strengths and weaknesses of desflurane in clinical practice and optimize the management strategy to benefit patients undergoing neurosurgery.