Immediate extubation in cardiac surgery: evaluation using electroencephalogram

Pinto, Valdester Cavalcante; Nunes, Rogean Rodrigues; Sardenberg, Claudia R. Carneiro; Branco, Klébia Castelo; Maior, Maria M. S.; Maia, Marcos Antônio Gadelha; Lopes-Souza, Patrícia; Mesquita, Fernando; Barroso, Haroldo B; Mejía, Juan Alberto Cosquillo; Moreira, Jane Eyre Melo; Oliveira, Ítalo Martins de; Carvalho, Waldemiro

doi:10.1590/s0102-76382003000100011

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…There are few studies that examine the use of BIS monitoring in cardiac anesthesia [ 9 ] . In cardiac anaesthesia, both total intravenous anesthesia (TIVA) and inhaled anaesthesia were used.…”

Section: Introductionmentioning

confidence: 99%

Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery

Kabukçu¹,

Şahin²,

Ozkaloglu³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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IntroductionTo obtain the optimal anesthesia depth is not easy in cardiovascular surgery patients where the haemodynamic reserve is limited, due to reasons such as not being able to give the desired dose of anesthetic agent, or the change in the pharmacokinetics of the agent in the heart-lung machine. This study was planned to assess the contribution of bispectral index (BIS) monitoring in the depth of anesthesia.MethodsThe patients were divided into 2 groups, and BIS monitoring was used for each patient. Group 1 (G1 n=35): keeping the BIS monitor screen open, the anesthesia need was set. Group 2 (G2 n=35): BIS monitor was tied to the patient and the monitor screen was closed in such a way that the anaesthesist couldn't see the BIS value. When the recording time came, the data on the monitor was recorded. The need for the anesthetic agent was set according to the parameters such as haemodynamics or follow up of pupils, instead of BIS value, by titrating the anesthetic infusion doses.ResultsBIS values were similar in both groups before the induction, BIS values in both groups showed a decrease, showing no significant statistical difference (P>0.05). One patient in each group said that he dreamt, and one patient in G2 said that he had heard a noise and felt that he was taken from one place to another.ConclusionThe management should be done with clinical evaluation, haemodynamics and other monitorization methods and BIS monitoring findings together.

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Section: Introductionmentioning

confidence: 99%

Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery

Kabukçu¹,

Şahin²,

Ozkaloglu³

et al. 2016

Brazilian Journal of Cardiovascular Surgery

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Extubação precoce na sala de operação após cirurgia cardíaca infantil

Abuchaim¹,

Bervanger²,

Medeiros³

et al. 2010

Rev Bras Cir Cardiovasc

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Extubação precoce na sala de operação após cirurgia cardíaca infantilEarly extubation of children in the operating room after cardiac surgery Abstract Introduction: Early extubation is related to short lenth of hospitalization and less complications.Objective: Data analisys from children extubated in the operating room after cardiac surgery with CPB.Methods: Retrospective data analisys. Results 104ABUCHAIM, DCS ET AL-Early extubation of children in the operating room after cardiac surgery Bras Cir Cardiovasc 2010; 25(1): 103-108 morphine 0.05 to 0.1 mg. The anesthesia before and after CPB was maintained by sevorane and, during CPB, by propophol. RevAfter median thoracotomy and heart exposure, it was administered a dosage of heparin 5 mg/kg, performed cannulation of the aorta and both cavas with diameters appropriate to the body surface of each patient and CPB carried out under moderate hypothermia at 25°C. The oxygenator (Edwards Life Sciences) was determined by the body surface. The cardioplegia used was the cold blood type with solution of ST Thomas (Braile Biomédica), administered in the aorta after clamping, induction dosage of 30ml/kg and repeated each 20 minutes with dosage of 20ml/kg. The hematocryt of CPB was maintained at a high level (24). The decision for extubation was made jointly by the anesthesiologist and the surgeon, at the end of thoracorraphy, individually, after evaluation of: hemodynamic stability (without vasoactive drugs), rhythm (sinus), presence of hemorrhage, cardiopathy type and age (over neonatal period).At the end of surgery, the patients were transferred to the neopediatric intensive care unit, using a Venturi oxygen mask at 50% and there were collected biochemical exams after 30 minutes of arrival.The Aristotle Score Risk was determined after filling out the clinical data in the chart available at the site www.aristotleinstitute.org [2].The statistical analysis was performed with the Student's t test, considered significant with P value lower than 0.05. RESULTSIn the period from 3/29/2006 to 1/29/2008, 70 patients aged less than 18 years of age were operated at the Hospital Santa Catarina -Blumenau, with diagnostic of congenital cardiopathy. Among these, 20 patients were submitted to procedures without CPB (ligation of arterial conduit, section of vascular ring, bandage of pulmonary artery, correction of aortic coarctation and pericardial window) and 50 patients were submitted to procedures with CPB (atriosseptoplasty, ventriculosseptoplasty, atrioventricular septal defect, Ebstein anomaly, Jatene operation, supravalvar aortic stenosis, partial septal defect, double outlet right ventricle, subaortic membrane, correction of complex cyanotic cardiopathies using procedures type modified Blalock-Taussig, Glenn or Fontan, intracardiac foreign body, Tetralogy of Fallot, cor triatriatum. Fifteen children, aged 4 to 216 months (mean 76.1 months), were submitted to extubation in the operating room after correction of congenital cardiopathies, using cardiopulmonary bypass. There were exc...

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Immediate extubation in cardiac surgery: evaluation using electroencephalogram

Cited by 2 publications

References 20 publications

Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery

Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery

Extubação precoce na sala de operação após cirurgia cardíaca infantil

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