Bispectral Index in Patients with Target-Controlled or Manually-Controlled Infusion of Propofol

Abstract

In this prospective, randomized study, bispectral index (BIS), hemodynamics, time to extubation, and costs of target-controlled infusion (TCI) and manually-controlled infusion of propofol were compared. TCI increased the amount of propofol used. BIS failed to predict the adequacy of anesthesia for the next painful stimulus.

Target Controlled Infusion (TCI) of Fentanyl and Midasolam in Coronary Artery Bypass Surgery: Effects on Anaesthesia Depth and Drug Consumption

“…Lehmann ve ark. (11) defibrilatör implantasyonu uygulanan 40 olguda BİS kontrollü olarak her 2 yöntemi karşılaştırmışlar ve remifentanil tüketimi, hemodinami ve ekstübasyon zamanını benzer, propofol tüketimi ve maliyeti ise HKİ tekniğinde daha yüksek bulmuşlardır. Ancak, geleneksel İV infüzyon tekniğinin kullanıldığı grupta ilk defibrilasyon uygulaması sırasında farkındalık işaretleri gözlemlenmiş, HKİ tekniği ile anestezinin daha hızlı yerleştiği ve farkındalık olasılığının azaldığını belirtmişlerdir.…”

Dental sedation for patients with intellectual disability: a prospective study of manual control versus Bispectral Index-guided target-controlled infusion of propofol

“…In either case, both studies showed that BIS value correlated well with depth of general anesthesia in patients with mental retardation. Several studies [35][36][37] have shown that a combination of titrating the target concentration of propofol with TCI and monitoring BIS values may be useful in general anesthesia for improved stability of depth of anesthesia. In agreement with these findings, the combination of the TCI technique and BIS monitoring provided effective sedation in patients with intellectual disability and challenging behavior.…”

ZURÜCKGEZOGEN: Propofolapplikationssysteme

“…Nr. A-2000; [15,17,23,25]) überwacht. Um einen BIS-Bereich von 40-55 aufrechtzuerhalten, wurde die Propofolzufuhr entsprechend modifiziert.…”