Benefício da anestesia geral com monitoração do índice bispectral em comparação com o monitoramento guiado apenas por parâmetros clínicos. Revisão sistemática e metanálise

Abstract

Clinically, anesthesia monitoring with the BIS can be justified because it allows advantages from reducing the recovery time after waking, mainly by reducing the administration of general anesthetics as well as the risk of adverse events.

Point-of-care detection of sevoflurane anesthetics in exhaled breath using a miniature TOFMS for diagnosis of postoperative agitation symptoms in children

“…5–7 Patients with postoperative agitation will experience irritability, leading to postoperative complications such as wound bleeding and wound opening, and irritability will significantly increase the incidence of suffocation caused by accidental extubation. A bispectral index (BIS) monitor 8,9 was integrated into a ventilator to monitor the real-time efficacy of anesthetics. Due to the differences in the physical fitness of patients, the concentration of sevoflurane required to achieve the same anesthetic efficacy varies greatly from individual to individual, and hence, researchers tried to achieve precise anesthesia by accurately measuring the concentration of sevoflurane.…”

The Bispectral Index Interest during General Anesthesia at the University Hospital of Parakou (Republic of Benin) in 2019

“…Consequently, in the United States in 2004, Liu in a meta-analysis including all the randomized controlled studies comparing BIS surveillance with standard clinical practice in outpatient surgery found an overall reduction of 19% in the use of anesthetics during surveillance by the BIS [3]. In 2017 in Brazil, Oliveira et al, in a Meta-analysis carried out over a period of two (2) years from December 2013 to January 2015, reported 1% reduction in the risk of memorization and an overall reduction of 12% in risk of Post-Operative Nausea and Vomiting (PONV) if general anesthesia is monitored by BIS [4]. In Africa, the use of this new technique is not frequent.…”