دورية أكاديمية
أعرض في EDS

Comparison of bispectral index and end-tidal anaesthetic concentration monitoring on recovery profile of desflurane in patients undergoing lumbar spine surgery

التفاصيل البيبلوغرافية
العنوان: Comparison of bispectral index and end-tidal anaesthetic concentration monitoring on recovery profile of desflurane in patients undergoing lumbar spine surgery
المؤلفون: R Sudhakaran, Jeetinder K Makkar, Divya Jain, Jyotsna Wig, R Chabra
المصدر: Indian Journal of Anaesthesia, Vol 62, Iss 7, Pp 516-523 (2018)
بيانات النشر: Wolters Kluwer Medknow Publications, 2018.
سنة النشر: 2018
المجموعة: LCC:Anesthesiology
مصطلحات موضوعية: Bispectral index, desflurane recovery profile, end tidal anaesthetic concentration, lumbar spine surgery, Anesthesiology, RD78.3-87.3
الوصف: Background and Aims: Several techniques have evolved over time to monitor depth of anesthesia and ensure enhanced recovery. This randomized double-blinded trial was designed to compare bispectral index (BIS) or end-tidal anaesthetic concentration (ETAC) monitoring on the recovery characteristics of patients undergoing thoracolumbar spine surgeries. Methods: Seventy American Society of Anesthesiologist I–II patients of either sex were randomized to Group B – BIS-guided protocol, Group E – ETAC-guided protocol, or Group S – Standard protocol. After intravenous induction, anaesthesia was maintained with desflurane in O2/N2O (50:50) mixture. In BIS, ETAC and Standard groups, inspired end-tidal desflurane concentration was varied to achieve BIS of 45–55, 0.8–1.0 age-corrected minimum alveolar concentration, and haemodynamic parameters within 20% of the baseline, respectively. Time to eye opening (emergence time, the primary outcome), time to extubation, and time to name recall from the discontinuation of the anaesthetic agent were recorded. Incidence of nausea, vomiting, and total analgesic consumption was noted for 24 h. Results: Emergence time (mean ± SD) in ETAC (5.1 ± 1.53 min) and BIS (5.0 ± 2.12 min)-guided groups was significantly lower than Standard group (7.5 ± 2.90 min). Extubation time in ETAC (6.3 ± 2.22 min) and BIS-guided group (6.5 ± 1.78 min) was significantly lower than Standard group (9.0 ± 3.20 min) (P < 0.001). Time to achieve fast track score of more than 12 was significantly less in BIS-guided group (13.12 ± 2.59 min). Conclusion: ETAC-guided anaesthesia is comparable to BIS-guided anaesthesia in achieving early recovery.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0019-5049
0976-2817
Relation: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=7;spage=516;epage=523;aulast=Sudhakaran; https://doaj.org/toc/0019-5049; https://doaj.org/toc/0976-2817
DOI: 10.4103/ija.IJA_172_18
URL الوصول: https://doaj.org/article/41faeb371cd14e53b5bbb47eb09e87ea
رقم الأكسشن: edsdoj.41faeb371cd14e53b5bbb47eb09e87ea
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:00195049
09762817
DOI:10.4103/ija.IJA_172_18