Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery
Abstract Introduction: To 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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000200178&lng=en&tlng=en |
| _version_ | 1818231887277064192 |
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| author | Hanife Karakaya Kabukcu Nursel Sahin Kezban Ozkaloglu Ilhan Golbasi Tulin Aydogdu Titiz |
| author_facet | Hanife Karakaya Kabukcu Nursel Sahin Kezban Ozkaloglu Ilhan Golbasi Tulin Aydogdu Titiz |
| author_sort | Hanife Karakaya Kabukcu |
| collection | DOAJ |
| description | Abstract Introduction: To 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. Methods: The 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. Results: BIS 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. Conclusion: The management should be done with clinical evaluation, haemodynamics and other monitorization methods and BIS monitoring findings together. |
| first_indexed | 2024-12-12T10:57:32Z |
| format | Article |
| id | doaj.art-bec64cbacd9c4060b80edd2d6001583d |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T10:57:32Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-bec64cbacd9c4060b80edd2d6001583d2022-12-22T00:26:37ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974131217818210.5935/1678-9741.20160038S0102-76382016000200178Bispectral Index Monitoring in Patients Undergoing Open Heart SurgeryHanife Karakaya KabukcuNursel SahinKezban OzkalogluIlhan GolbasiTulin Aydogdu TitizAbstract Introduction: To 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. Methods: The 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. Results: BIS 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. Conclusion: The management should be done with clinical evaluation, haemodynamics and other monitorization methods and BIS monitoring findings together.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000200178&lng=en&tlng=enCardiopulmonary BypassAnesthesiaMonitoringIntraoperative |
| spellingShingle | Hanife Karakaya Kabukcu Nursel Sahin Kezban Ozkaloglu Ilhan Golbasi Tulin Aydogdu Titiz Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery Brazilian Journal of Cardiovascular Surgery Cardiopulmonary Bypass Anesthesia Monitoring Intraoperative |
| title | Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery |
| title_full | Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery |
| title_fullStr | Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery |
| title_full_unstemmed | Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery |
| title_short | Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery |
| title_sort | bispectral index monitoring in patients undergoing open heart surgery |
| topic | Cardiopulmonary Bypass Anesthesia Monitoring Intraoperative |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000200178&lng=en&tlng=en |
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