EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery

Yli‐Hankala, Arvi; Vakkuri, Anne; Annila, P.; Korttila, K.

doi:10.1034/j.1399-6576.1999.430510.x

Cited by 124 publications

(73 citation statements)

References 6 publications

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“…Alkire et al showed that time to extubation was significantly shorter under BIS monitoring than under routine care [37]. Similar results were found by the following studies [35,39,[42][43][44]. Our results are consistent with the study of Sadaqa et al that showed no significant difference in time to extubation of BIS monitoring and routine care groups in a randomized control study using Bispectral index monitoring during cardiopulmonary bypass surgery [45].…”

Section: Journal Of Biomedical Sciences Issn 2254-609xsupporting

confidence: 92%

“…Yili-Hankala et al compared propofol and sevoflurane under BIS and routine care protocols and found less consumption of both propofol and sevoflurane in the BIS monitored group. These studies show that BIS monitoring is helpful for lowering the consumption of propofol during anesthesia [39] which is not the case in our study. Friedberg et al found that BIS index monitoring decreased propofol consumption by 20% as compared to routine care [40].…”

Section: Anesthetic Drugs Consumptioncontrasting

confidence: 64%

See 1 more Smart Citation

The Clinical Effectiveness of the Bispectral Index (BIS) To Reduce the Risk of Awareness for Elective Surgical Patients Undergoing General Anesthesia: A Prospective, Randomized, Double-Blind, Controlled Trial

Alkaissi¹,

Tarayra²,

Nazzal³

2017

J Biomedical Sci

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Background: Unintended intra-operative awareness is a serious complication of general anesthesia. The incidence of such awareness has been reported to be about 0.1-0.6% of patients under general anesthesia. Reminiscence of what occurred during the operation can be felt by patients, which can be stressful and leave lasting mental suffering afterward the operation. Patients that experience unintended intra-operative awareness may have some combination of auditory function, tactual feeling, a sense of weakness, an inability to move, pain, and dread. Bispectral Index (BIS) monitoring has been shown to decrease awareness and boost recovery time from anesthesia. Aims of the study is to evaluate the clinical impact of BIS monitoring to reduce the incidence of awareness and its impact on hemodynamic parameters, drug consumption, the recovery time and the end-tidal concentration of volatile anesthetics in adult patients undergoing various types of surgery under general anesthesia.

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Section: Journal Of Biomedical Sciences Issn 2254-609xsupporting

confidence: 92%

Section: Anesthetic Drugs Consumptioncontrasting

confidence: 64%

The Clinical Effectiveness of the Bispectral Index (BIS) To Reduce the Risk of Awareness for Elective Surgical Patients Undergoing General Anesthesia: A Prospective, Randomized, Double-Blind, Controlled Trial

Alkaissi¹,

Tarayra²,

Nazzal³

2017

J Biomedical Sci

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“…Wie oben bereits für den BIS-Monitor beschrieben, stellen verkürzte Aufwachzeiten einen weiteren Vorteil der Überwachung des Narkose-EEG dar [1,3,4,6,16]. Dies konnte auch in der vorliegenden Untersuchung für den Narcotrend-Monitor bestätigt werden: Durch Ansteuerung der Stufen D oder E war eine signifikante Reduktion der Aufwachzeiten im Vergleich zur Patientengruppe mit klinischer Anästhesiesteue-rung möglich.Vor dem Hintergrund der Tatsache, dass die in der vorliegenden Untersuchung angesteuerten Narcotrend-Stufen D und E eine durchaus unterschiedliche "Narkosetiefe" repräsen-tieren [7], erschien eine getrennte Analyse der Aufwachzeiten sinnvoll.…”

Section: Einfluss Des Verwendeten Opioidsunclassified

Narcotrend-EEG-Monitoring bei total intravenöser Anästhesie

2002

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The EEG monitor Narcotrend can be used for adult patients of different ages and during various surgical procedures.Narcotrend monitoring facilitates a reduction of recovery times after propofol-based total intravenous anaesthesia,presumably by allowing for an individual titration of the propofol dosage. Moreover, it appears that the profile of recovery can be optimised when at the end of surgery,the propofol infusion is controlled to Narcotrend stage C instead of D, E, or F.

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“…Sevofluran tüketimin-de tespit edilen % 25,3'lük azalma BİS ile anestezi derinliğinin takibinde tüketilen ilaç miktarlarının azaldığını gösteren daha önce yapılmış çalışmaları destekler niteliktedir. (6,(18)(19)(20)(21) Ganidağlı ve ark. (22) ASA I-II 14-65 yaş arası 70 hasta üzerinde yaptıkları çalışmada hastaların anestezi derinliğinin belirlenmesinde BİS monitörizasyonu yapılanlar ve hemodinamik parametrelere göre takip edilenler olmak üzere 2 gruba ayırmıştır.…”

Section: Discussionunclassified

The Effect of BIS Monitorization on the Consumption of Sevoflurane in Transsphenoidal Hypophysectomy

Baykal¹,

Özdamar²,

Hoşten³

et al. 2011

J Turk Anaesth Int Care

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ÖZETAmaç: Çalışmamızda, genel anestezi altındaki hastalarda anestezi derinliğinin, Bispektral İndeks (BİS) yoluyla takip edilmesinin kullanılan anestezik ilaç miktarlarına ve anestezi sonrası göz açma ve ekstübasyon sürelerine etkisini araştırdık.Gereç ve Yöntem: Bu prospektif randomize çalışmaya Kocaeli Üniversitesi Etik Kurul izni alındıktan sonra transsfenoidal hipofizektomi cerrahisi planlanmış, ASA II-III olan, 18-65 yaş arasındaki 60 hasta dahil edildi. Hastalar 2 gruba ayrıldı. Grup I: BİS monitörizasyonlu, Grup II: BİS monitörizasyonsuz. Rutin monitörizasyon sonrası Grup I'e indüksiyon-dan önce BİS monitörizasyonu uygulandı. Tüm hastalara aynı anestezi yöntemi uygulandı. Sevofluran konsantrasyonu Grup I'de BİS oranına (50-60) göre ayarlandı, Grup II'de % 2 konsantrasyonda tutuldu.Ölçümler; Preoperatif ilk değer, indüksiyon sonrası, entübasyon sonrası 5., 10., 15., dk. ile operasyon süresince her 15 dk.'da bir kaydedildi. Volatil ajan cerrahi işlem tamamen bittikten sonra kapatıldı. Anestezik ilaçların kapatılmasın-dan ekstübasyona kadar geçen süre ekstübasyon zamanı, sesli uyaranla göz açmaya kadar geçen süre göz açma süresi olarak değerlendirildi. Operasyon bitiminde toplam tüketilen sevofluran ve remifentanil miktarları ve MAK değerleri kaydedildi.Bulgular: Yaş, kilo ve cins, total remifentanil kullanımı gruplar arasında benzerdi. Sevofluran miktarı ve MAK Grup I'de Grup II'den istatistiksel olarak farklı olarak düşüktü (p<0.05).Gruplar arasında ekstübasyon ve göz açma süreleri açısından anlamlı fark bulunmadı. Her iki grupta hemodinamik yanıtlar (ortalama arteriyel basınç, kalp atım hızı) açısından anlamlı fark yoktu.Sonuç: Genel anestezi altındaki hastalarda anestezi derinliğinin BİS ile monitörizasyonu sonucu tüketilen volatil ajan miktarı azalmaktadır. Anahtar kelimeler: Anestezi derinliği, BİS SUMMARY The Effect of BIS Monitorization on the Consumption of Sevoflurane in Transsphenoidal HypophysectomyAim: We investigated the impact of anesthetic depth by bispectral index (BIS) monitorization on anesthetic drug usage, eye opening and extubation time after anesthesia on patients who are undergoing transsphenoidal hypophysectomy under general anesthesia.Material and Method: After approval of Kocaeli University Ethics Committee 60 ASA II-III patients aged 18-60 years who were scheduled for transsphenoidal hypophysectomy were enrolled in this prospective randomized study. The patients were divided into 2 groups as Groups I, and II which included patients who were followed-up with or without BIS monitorization, respectively. After routine monitorization; Group I was monitorized by BIS before the induction of anasthesia. The same anesthesia technique was administered to all of the patients. In Group I, concentration of sevoflurane was regulated according to the BIS ratio (50-60). In Group II sevoflurane concentration was 2 %.Measurements: The parameters were recorded preoperatively, after induction, and at 5., 10., and 15. minutes postintubation, and also every 15 minutes during the operation. The adminis...

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EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery

Cited by 124 publications

References 6 publications

The Clinical Effectiveness of the Bispectral Index (BIS) To Reduce the Risk of Awareness for Elective Surgical Patients Undergoing General Anesthesia: A Prospective, Randomized, Double-Blind, Controlled Trial

The Clinical Effectiveness of the Bispectral Index (BIS) To Reduce the Risk of Awareness for Elective Surgical Patients Undergoing General Anesthesia: A Prospective, Randomized, Double-Blind, Controlled Trial

Narcotrend-EEG-Monitoring bei total intravenöser Anästhesie

The Effect of BIS Monitorization on the Consumption of Sevoflurane in Transsphenoidal Hypophysectomy

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