A 67-year-old patient is scheduled for elective major noncardiac surgery and will receive general anesthesia. The team is considering maintenance with total intravenous anesthesia using propofol infusion versus volatile-based inhalational anesthesia.
According to this randomized clinical trial, what does the evidence support regarding TIVA compared with volatile-based inhalational anesthesia in older adults undergoing major noncardiac surgery?