The effects of bispectral index monitoring on end-tidal desflurane concentration and desflurane consumption

Basit Öğe Kaydı
dc.contributor.authorKaymak Ç.
dc.contributor.authorTakmaz S.A.
dc.contributor.authorÖzcan A.O.
dc.contributor.authorGülhan Y.
dc.contributor.authorDikmen B.
dc.date.accessioned2020-06-25T15:14:08Z
dc.date.available2020-06-25T15:14:08Z
dc.date.issued2008
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAim: The aim of the study is to assess whether the concentration of end-tidal desflurane decreases or not with the use of bispectral index (BIS) monitoring to standard anesthetic practice. Materials and Methods: In all patients anesthesia was induced with thiopental sodium 5 mg kg-1 and fentanyl 1 ?g kg-1. The trachea was intubated using vecuronium 0.1mg kg-1. Anesthesia was maintained with desflurane, in a mixture of nitrous oxide 1 L min-1 and oxygen 1 L min-1. Desflurane with 4-6 % concentration was administered to patients for 5 min after tracheal intubation. Additional fentanyl 1 ?g kg-1 was given before skin insicion and no more was given. The desflurane concentration was then changed as follows: In Group I; if the patients displayed clinical signs consistent with inadequate anesthesia, the inspired desflurane concentration was increased or decreased by 1 %. In Group II, the anesthesiologist adjusted the concentration of desflurane to achieve a target BIS in the range of 50±5. Results: The mean BIS value was 35.98±2.3 and 45.68±5.3 in Group I and II, respectively. BIS levels in Group I were significantly lower during surgery (p=0.001). The end tidal desflurane concentrations in Group I were significantly higher than Group II (Group I: 4.61±0.48, Group II: 3.92±0.61) (p=0.007). The desflurane consumption was total 917.84±14.08 mL and 838.02±11.73 mL in Group I and II, respectively. Conclusion: These findings indicate that the use of BIS, as it decreases the end-tidal concentration of desflurane and desflurane consumption, has become a technique which determines the depth of anesthesia safely.en_US
dc.identifier.citationKaymak, Ç., Takmaz, A. S., Özcan, O. A., Gülhan, Y., Dikmen, B. (2008). Bispektral indeks monitorizasyonunun end-tidal desfluran konsantrasyonu ve desfluran tüketimi üzerine etkisi. Türk Anestezi ve Reanimasyon Dergisi, 36(3), 147 - 152.en_US
dc.identifier.endpage152en_US
dc.identifier.issn13040871
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-49949117535
dc.identifier.scopusqualityN/A
dc.identifier.startpage147en_US
dc.identifier.trdizinid79476
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2035
dc.identifier.volume36en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isotr
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBispectral indexen_US
dc.subjectDesfluraneen_US
dc.subjectGeneral anesthesiaen_US
dc.subjectInhalational anestheticsen_US
dc.subjectMonitoringen_US
dc.titleThe effects of bispectral index monitoring on end-tidal desflurane concentration and desflurane consumptionen_US
dc.title.alternativeBispektral i?ndeks monitorizasyonunun end-tidal desfluran konsantrasyonu ve desfluran tüketimi üzerine etkisien_US
dc.typeArticle

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