A comparison of four intravenous sedation techniques and Bispectral Index monitoring in sinonasal surgery
Yükleniyor...
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Australian Soc Anaesthetists
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
This study was performed to investigate the quality of different intravenous sedation techniques, and the correlation between the Bispectral Index (BIS) values and the Observer's Assessment of Alertness/Sedation (OAA/S) scores. Eighty patients undergoing sinonasal surgery were randomly assigned to one of four groups. Group MF received midazolam and fentanyl, group PF received propofol and fentanyl, group MR received midazolam and remifentanil, and group PR received propofol and remifentanil. Heart rate and mean arterial pressuure values were not different among the groups. SpO(2) decreased only after intravenous medication in groups MF and MR (P<0.017). Emesis was less common with propofol. A positive relationship existed between the BIS values and OAA/S scores during the operation in all groups and the strongest correlation was observed in group PR (r=0.565 and P<0.001). In conclusion, these four intravenous sedation techniques did not change mean arterial pressure, heart rate or SpO(2) clinically and produced a similar level of light sedation. The BIS was useful for monitoring of sedation during sinonasal surgery under local anaesthesia with intravenous sedation.
Açıklama
Anahtar Kelimeler
monitoring : bispectral index surgery : otorhinolaryngological, anaesthetic drugs : midazolam, propofol, opioids : fentanyl, remifentanil, conscious sedation
Kaynak
Anaesthesia And Intensive Care
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
31
Sayı
2
Künye
Buyukkocak U, Ozcan S, Daphan C, Apan A, Koc C. A Comparison of Four Intravenous Sedation Techniques and Bispectral Index Monitoring in Sinonasal Surgery. Anaesthesia and Intensive Care. 2003;31(2):164-171.
