Anesthésie Intraveineuse à Objectif de Concentration (AIVOC) : enquête nationale 2013

Bertarrex, Amandine; Billard, V.; Molliex, Serge; Passot, S.; Sztark, F.

doi:10.1016/j.annfar.2014.07.248

Cited by 1 publication

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“…This technique is increasingly used by different centers. However, some authors concluded that further efforts are still needed regarding the availability of devices, knowledge and control of this technique by anesthesiologists [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for endoscopic retrograde cholangiopancreatography: target-controlled infusion versus standard volatile anesthesia

Motiaa¹,

Bensghir²,

Jaafari³

et al. 2016

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BackgroundEndoscopic retrograde cholangiopancreatography (ERCP) is a technique used both for diagnosis and for the treatment of biliary and pancreatic diseases. ERCP has some anesthetic implications and specific complications. The primary outcome aim was to compare two protocols in terms of time of extubation. We also compared anesthetic protocols in terms of hemodynamic and respiratory instability, antispasmodics needs, endoscopist satisfaction, and recovery room stay.MethodsPatients were randomized into two groups standard anesthesia group (Gr: SA) in whom induction was done by propofol, fentanyl and cisatracurium and maintenance was done by a mixture of oxygen, nitrousoxide (50%:50%) and sevoflurane; and intravenous anesthesia group to target concentration (Gr: TCI) in whom induction and maintenance of anesthesia were done with propofol with a target 0.5-2 μg/mL, and remifentanil with a target of 0.75-2 ng/mL.Results90 patients were included. Extubation time was shorter in Gr: TCI, 15±2.6 vs. 27.4±7.1 min in Gr: SA (P<0.001). The incidence of hypotension was higher in GrL: SA (P=0.009). Satisfaction was better in Gr: TCI (P=0.003). Antispasmodic need was higher in Gr: SA (P=0.023). Six patients in Gr: SA group had desaturation in post-anesthesia care unit (PACU) versus one patient from Gr: TCI (P=0.049). Patients in Gr: TCI had shorter PACU stay 40.2±7.3 vs. 58.7±12.4 min (P<0.001).ConclusionThe use of TCI mode allows better optimization of general anesthesia technique during ERCP.

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Section: Discussionmentioning

confidence: 99%