The Effects of Isoflurane and Desflurane Titrated to a Bispectral Index of 60 on the Cortical Somatosensory Evoked Potential During Pediatric Scoliosis Surgery
In this study, we compared the effect of isoflurane and desflurane on the posterior tibial somatosensory evoked potential recorded by scalp electrodes during correction of idiopathic scoliosis in pediatric patients. Depth of sedation was controlled by maintaining bispectral index (BIS) at 60 through...
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| Veröffentlicht in: | Anesthesia and analgesia 2005-06, Vol.100 (6), p.1797-1803 |
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| creator | Fletcher, James E. Hinn, Albert R. Heard, Christopher M. Georges, Linda S. Freid, Eugene B. Keifer, Ann Brooks, Sandra D. Bailey, Ann G. Valley, Robert D. |
| description | In this study, we compared the effect of isoflurane and desflurane on the posterior tibial somatosensory evoked potential recorded by scalp electrodes during correction of idiopathic scoliosis in pediatric patients. Depth of sedation was controlled by maintaining bispectral index (BIS) at 60 throughout the study. Comparison of patients breathing desflurane and isoflurane showed an evoked cortical amplitude (N37-P45) of 0.53 ± 0.3 μV versus 1.3 ± 0.8 μV (P = 0.014), respectively. In addition to this comparison, a crossover design was included whereby the desflurane or isoflurane received in the first part of the study was changed to the other anesthetic. Substituting one anesthetic for another confirmed our initial finding that the cortical evoked amplitude is greater with isoflurane than with desflurane. No differential effect was found between desflurane and isoflurane on the evoked subcortical (N31-P34) amplitude or the P37 latency. |
| doi_str_mv | 10.1213/01.ANE.0000152193.90756.4E |
| format | Article |
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Depth of sedation was controlled by maintaining bispectral index (BIS) at 60 throughout the study. Comparison of patients breathing desflurane and isoflurane showed an evoked cortical amplitude (N37-P45) of 0.53 ± 0.3 μV versus 1.3 ± 0.8 μV (P = 0.014), respectively. In addition to this comparison, a crossover design was included whereby the desflurane or isoflurane received in the first part of the study was changed to the other anesthetic. Substituting one anesthetic for another confirmed our initial finding that the cortical evoked amplitude is greater with isoflurane than with desflurane. 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Depth of sedation was controlled by maintaining bispectral index (BIS) at 60 throughout the study. Comparison of patients breathing desflurane and isoflurane showed an evoked cortical amplitude (N37-P45) of 0.53 ± 0.3 μV versus 1.3 ± 0.8 μV (P = 0.014), respectively. In addition to this comparison, a crossover design was included whereby the desflurane or isoflurane received in the first part of the study was changed to the other anesthetic. Substituting one anesthetic for another confirmed our initial finding that the cortical evoked amplitude is greater with isoflurane than with desflurane. No differential effect was found between desflurane and isoflurane on the evoked subcortical (N31-P34) amplitude or the P37 latency.</description><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Anesthesia, Inhalation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Inhalation - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Body Temperature - drug effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Over Studies</subject><subject>Electric Stimulation</subject><subject>Electroencephalography - drug effects</subject><subject>Evoked Potentials, Somatosensory - drug effects</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Isoflurane - administration & dosage</subject><subject>Isoflurane - analogs & derivatives</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Monitoring, Intraoperative</subject><subject>Orthopedic Procedures</subject><subject>Prospective Studies</subject><subject>Scoliosis - surgery</subject><subject>Tibial Nerve - physiology</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkd1uEzEQhS0EoqHwCshCgrsN_lt7zV1JF4hUQaWEa8vrtRvTzTq1vZQ8Da-K0wTFkjUaz3dm5DkAvMNojgmmHxGeX31v56gcXBMs6VwiUfM5a5-BWXnhlahl8xzMCkArIqW8AK9S-nXgUcNfggtcS4II5jPwd72xsHXOmpxgcHCZghumqEcL9djDa5v-p2ufo862hzlADT_7tCuaqAe4HHv756DlCIYR5tJwEWL2ptRWYatzSHZMIe5h-zvclwa3Idsx-1K-nqIf7-Ct7b3O0Ru4MmHwIfkEV1O8s3H_Grxwekj2zSlegp9f2vXiW3Xz4-tycXVTGVpLVnUECyIag5hupMAWM0GdEYL1vRO86wQ1RBMpZI1rRzom-7rvO0ktd4gbYugl-HDsu4vhYbIpq61Pxg5D-XqYkuKiEZQIWsBPR9DEkFK0Tu2i3-q4Vxipgz0KYVXsUWd71JM9irVF_PY0Zeq2tj9LT34U4P0J0Knsz5XNG5_OHG8oxqIpHDtyj2HINqb7YXq0UW2sHvLmaTSqqaxICYiXpCqXMfoPpXap-A</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Fletcher, James E.</creator><creator>Hinn, Albert R.</creator><creator>Heard, Christopher M.</creator><creator>Georges, Linda S.</creator><creator>Freid, Eugene B.</creator><creator>Keifer, Ann</creator><creator>Brooks, Sandra D.</creator><creator>Bailey, Ann G.</creator><creator>Valley, Robert D.</creator><general>International Anesthesia Research Society</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050601</creationdate><title>The Effects of Isoflurane and Desflurane Titrated to a Bispectral Index of 60 on the Cortical Somatosensory Evoked Potential During Pediatric Scoliosis Surgery</title><author>Fletcher, James E. ; Hinn, Albert R. ; Heard, Christopher M. ; Georges, Linda S. ; Freid, Eugene B. ; Keifer, Ann ; Brooks, Sandra D. ; Bailey, Ann G. ; Valley, Robert D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3594-b217278c04a8971e1473fc774ddf76bb73c2a2979515f2b49d5ddb93e6f06c2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Anesthesia</topic><topic>Anesthesia, Inhalation</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Inhalation - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Body Temperature - drug effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Over Studies</topic><topic>Electric Stimulation</topic><topic>Electroencephalography - drug effects</topic><topic>Evoked Potentials, Somatosensory - drug effects</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Isoflurane - administration & dosage</topic><topic>Isoflurane - analogs & derivatives</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Monitoring, Intraoperative</topic><topic>Orthopedic Procedures</topic><topic>Prospective Studies</topic><topic>Scoliosis - surgery</topic><topic>Tibial Nerve - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fletcher, James E.</creatorcontrib><creatorcontrib>Hinn, Albert R.</creatorcontrib><creatorcontrib>Heard, Christopher M.</creatorcontrib><creatorcontrib>Georges, Linda S.</creatorcontrib><creatorcontrib>Freid, Eugene B.</creatorcontrib><creatorcontrib>Keifer, Ann</creatorcontrib><creatorcontrib>Brooks, Sandra D.</creatorcontrib><creatorcontrib>Bailey, Ann G.</creatorcontrib><creatorcontrib>Valley, Robert D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fletcher, James E.</au><au>Hinn, Albert R.</au><au>Heard, Christopher M.</au><au>Georges, Linda S.</au><au>Freid, Eugene B.</au><au>Keifer, Ann</au><au>Brooks, Sandra D.</au><au>Bailey, Ann G.</au><au>Valley, Robert D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effects of Isoflurane and Desflurane Titrated to a Bispectral Index of 60 on the Cortical Somatosensory Evoked Potential During Pediatric Scoliosis Surgery</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>100</volume><issue>6</issue><spage>1797</spage><epage>1803</epage><pages>1797-1803</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><coden>AACRAT</coden><abstract>In this study, we compared the effect of isoflurane and desflurane on the posterior tibial somatosensory evoked potential recorded by scalp electrodes during correction of idiopathic scoliosis in pediatric patients. Depth of sedation was controlled by maintaining bispectral index (BIS) at 60 throughout the study. Comparison of patients breathing desflurane and isoflurane showed an evoked cortical amplitude (N37-P45) of 0.53 ± 0.3 μV versus 1.3 ± 0.8 μV (P = 0.014), respectively. In addition to this comparison, a crossover design was included whereby the desflurane or isoflurane received in the first part of the study was changed to the other anesthetic. Substituting one anesthetic for another confirmed our initial finding that the cortical evoked amplitude is greater with isoflurane than with desflurane. No differential effect was found between desflurane and isoflurane on the evoked subcortical (N31-P34) amplitude or the P37 latency.</abstract><cop>Hagerstown, MD</cop><pub>International Anesthesia Research Society</pub><pmid>15920216</pmid><doi>10.1213/01.ANE.0000152193.90756.4E</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Anesthesia Anesthesia, Inhalation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Inhalation - administration & dosage Biological and medical sciences Body Temperature - drug effects Child Child, Preschool Cross-Over Studies Electric Stimulation Electroencephalography - drug effects Evoked Potentials, Somatosensory - drug effects Female Hemodynamics Humans Isoflurane - administration & dosage Isoflurane - analogs & derivatives Male Medical sciences Monitoring, Intraoperative Orthopedic Procedures Prospective Studies Scoliosis - surgery Tibial Nerve - physiology |
| title | The Effects of Isoflurane and Desflurane Titrated to a Bispectral Index of 60 on the Cortical Somatosensory Evoked Potential During Pediatric Scoliosis Surgery |
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