The Effect of BIS Usage on Anaesthetic Agent Consumption, Haemodynamics and Recovery Time in Supratentorial Mass Surgery
In this study, we aimed to compare Bispectral Index (BIS) monitoring with the conventional anaesthesia approach based on haemodynamic changes in terms of anaesthetic agent consumption, haemodynamic recordings, recovery time and cost. This study was performed in 82 patients, aged 20 to 60 years, who...
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| Veröffentlicht in: | Turkish Journal of Anaesthesiology and Reanimation 2014-06, Vol.42 (3), p.117-122 |
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| container_title | Turkish Journal of Anaesthesiology and Reanimation |
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| creator | Karaca, İclal Akçıl, Fatma Eren Dilmen, Özlem Korkmaz Köksal, Güniz Meyancı Tunalı, Yusuf |
| description | In this study, we aimed to compare Bispectral Index (BIS) monitoring with the conventional anaesthesia approach based on haemodynamic changes in terms of anaesthetic agent consumption, haemodynamic recordings, recovery time and cost.
This study was performed in 82 patients, aged 20 to 60 years, who were operated for supratentorial mass and were graded ASA I or II. Cases were randomly divided into two equal groups. In the standard control group haemodynamic parameters were used to determine depth of anaesthesia and in the BIS group, BIS monitoring was applied. In the BIS group the BIS values were kept between 40 and 60; in the control group haemodynamic changes within the range of +/-20% of initial values were controlled using appropriate anaesthetic practice. Haemodynamic parameters, awakening conditions and drug usage were recorded.
The difference between the two groups in terms of timing of eye opening and initial spontaneous breath was not statistically significant. The 'Aldrete' score at the 20(th) postoperative minute for the BIS group was significantly higher than the score calculated for the control group (p |
| doi_str_mv | 10.5152/TJAR.2014.24892 |
| format | Article |
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This study was performed in 82 patients, aged 20 to 60 years, who were operated for supratentorial mass and were graded ASA I or II. Cases were randomly divided into two equal groups. In the standard control group haemodynamic parameters were used to determine depth of anaesthesia and in the BIS group, BIS monitoring was applied. In the BIS group the BIS values were kept between 40 and 60; in the control group haemodynamic changes within the range of +/-20% of initial values were controlled using appropriate anaesthetic practice. Haemodynamic parameters, awakening conditions and drug usage were recorded.
The difference between the two groups in terms of timing of eye opening and initial spontaneous breath was not statistically significant. The 'Aldrete' score at the 20(th) postoperative minute for the BIS group was significantly higher than the score calculated for the control group (p<0.05). Rocuronium consumption (mg kg(-1) hr(-1)) was significantly lower in the BIS group than the control group (p<0.05). Although a statistically significant difference (p<0.05) was found between the two groups in terms of initial heart rate and SpO2 values, there was no clinically significant difference in other haemodynamic parameters.
Although using BIS monitoring to evaluate depth of anaesthesia does not bring much benefit versus the use of haemodynamic parameters, it may be beneficial for selected surgeries such as awake craniotomy, for patients with a history of awareness and in haemodynamically unstable patients.</description><identifier>ISSN: 2149-0937</identifier><identifier>ISSN: 1304-0871</identifier><identifier>EISSN: 1305-614X</identifier><identifier>EISSN: 2149-276X</identifier><identifier>DOI: 10.5152/TJAR.2014.24892</identifier><identifier>PMID: 27366404</identifier><language>eng</language><publisher>Turkey: Turkish Anaesthesiology and Intensive Care Society</publisher><subject>Original</subject><ispartof>Turkish Journal of Anaesthesiology and Reanimation, 2014-06, Vol.42 (3), p.117-122</ispartof><rights>Copyright 2014 by Turkish Anaesthesiology and Intensive Care Society 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2382-f133dd102661a4366ef4fdcbb17782a8d49fd56990ec454f7e2f719d1bc72c4a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27366404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karaca, İclal</creatorcontrib><creatorcontrib>Akçıl, Fatma Eren</creatorcontrib><creatorcontrib>Dilmen, Özlem Korkmaz</creatorcontrib><creatorcontrib>Köksal, Güniz Meyancı</creatorcontrib><creatorcontrib>Tunalı, Yusuf</creatorcontrib><title>The Effect of BIS Usage on Anaesthetic Agent Consumption, Haemodynamics and Recovery Time in Supratentorial Mass Surgery</title><title>Turkish Journal of Anaesthesiology and Reanimation</title><addtitle>Turk J Anaesthesiol Reanim</addtitle><description>In this study, we aimed to compare Bispectral Index (BIS) monitoring with the conventional anaesthesia approach based on haemodynamic changes in terms of anaesthetic agent consumption, haemodynamic recordings, recovery time and cost.
This study was performed in 82 patients, aged 20 to 60 years, who were operated for supratentorial mass and were graded ASA I or II. Cases were randomly divided into two equal groups. In the standard control group haemodynamic parameters were used to determine depth of anaesthesia and in the BIS group, BIS monitoring was applied. In the BIS group the BIS values were kept between 40 and 60; in the control group haemodynamic changes within the range of +/-20% of initial values were controlled using appropriate anaesthetic practice. Haemodynamic parameters, awakening conditions and drug usage were recorded.
The difference between the two groups in terms of timing of eye opening and initial spontaneous breath was not statistically significant. The 'Aldrete' score at the 20(th) postoperative minute for the BIS group was significantly higher than the score calculated for the control group (p<0.05). Rocuronium consumption (mg kg(-1) hr(-1)) was significantly lower in the BIS group than the control group (p<0.05). Although a statistically significant difference (p<0.05) was found between the two groups in terms of initial heart rate and SpO2 values, there was no clinically significant difference in other haemodynamic parameters.
Although using BIS monitoring to evaluate depth of anaesthesia does not bring much benefit versus the use of haemodynamic parameters, it may be beneficial for selected surgeries such as awake craniotomy, for patients with a history of awareness and in haemodynamically unstable patients.</description><subject>Original</subject><issn>2149-0937</issn><issn>1304-0871</issn><issn>1305-614X</issn><issn>2149-276X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpVUctKQzEQDaLYoq7dST7AW_O6r41Qi49KRagtuAu5ebSB3qQkt8X-valV0dUMM-ecGc4B4BKjQY5zcjN7Hk4HBGE2IKyqyRHoY4ryrMDs_Rj0CWZ1hmpa9sBFjLZBtEJlwVB1CnqkpEVqWR98zJYa3hujZQe9gXfjNziPYqGhd3DohI7dUndWwuFCuw6OvIubdt1Z767hk9CtVzsnWisjFE7BqZZ-q8MOzmyroXXwbbMOoktMH6xYwRcRY5qFRcKcgxMjVlFffNczMH-4n42essnr43g0nGSS0IpkBlOqFEakKLBg6WttmFGyaXBZVkRUitVG5UVdIy1ZzkypiSlxrXAjSyKZoGfg9qC73jStVjI9E8SKr4NtRdhxLyz_v3F2yRd-y5OljOAqCdwcBGTwMQZtfrkY8X0OfJ8D3-fAv3JIjKu_J3_xP67TT6V6heQ</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Karaca, İclal</creator><creator>Akçıl, Fatma Eren</creator><creator>Dilmen, Özlem Korkmaz</creator><creator>Köksal, Güniz Meyancı</creator><creator>Tunalı, Yusuf</creator><general>Turkish Anaesthesiology and Intensive Care Society</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>201406</creationdate><title>The Effect of BIS Usage on Anaesthetic Agent Consumption, Haemodynamics and Recovery Time in Supratentorial Mass Surgery</title><author>Karaca, İclal ; Akçıl, Fatma Eren ; Dilmen, Özlem Korkmaz ; Köksal, Güniz Meyancı ; Tunalı, Yusuf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2382-f133dd102661a4366ef4fdcbb17782a8d49fd56990ec454f7e2f719d1bc72c4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karaca, İclal</creatorcontrib><creatorcontrib>Akçıl, Fatma Eren</creatorcontrib><creatorcontrib>Dilmen, Özlem Korkmaz</creatorcontrib><creatorcontrib>Köksal, Güniz Meyancı</creatorcontrib><creatorcontrib>Tunalı, Yusuf</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Turkish Journal of Anaesthesiology and Reanimation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karaca, İclal</au><au>Akçıl, Fatma Eren</au><au>Dilmen, Özlem Korkmaz</au><au>Köksal, Güniz Meyancı</au><au>Tunalı, Yusuf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of BIS Usage on Anaesthetic Agent Consumption, Haemodynamics and Recovery Time in Supratentorial Mass Surgery</atitle><jtitle>Turkish Journal of Anaesthesiology and Reanimation</jtitle><addtitle>Turk J Anaesthesiol Reanim</addtitle><date>2014-06</date><risdate>2014</risdate><volume>42</volume><issue>3</issue><spage>117</spage><epage>122</epage><pages>117-122</pages><issn>2149-0937</issn><issn>1304-0871</issn><eissn>1305-614X</eissn><eissn>2149-276X</eissn><abstract>In this study, we aimed to compare Bispectral Index (BIS) monitoring with the conventional anaesthesia approach based on haemodynamic changes in terms of anaesthetic agent consumption, haemodynamic recordings, recovery time and cost.
This study was performed in 82 patients, aged 20 to 60 years, who were operated for supratentorial mass and were graded ASA I or II. Cases were randomly divided into two equal groups. In the standard control group haemodynamic parameters were used to determine depth of anaesthesia and in the BIS group, BIS monitoring was applied. In the BIS group the BIS values were kept between 40 and 60; in the control group haemodynamic changes within the range of +/-20% of initial values were controlled using appropriate anaesthetic practice. Haemodynamic parameters, awakening conditions and drug usage were recorded.
The difference between the two groups in terms of timing of eye opening and initial spontaneous breath was not statistically significant. The 'Aldrete' score at the 20(th) postoperative minute for the BIS group was significantly higher than the score calculated for the control group (p<0.05). Rocuronium consumption (mg kg(-1) hr(-1)) was significantly lower in the BIS group than the control group (p<0.05). Although a statistically significant difference (p<0.05) was found between the two groups in terms of initial heart rate and SpO2 values, there was no clinically significant difference in other haemodynamic parameters.
Although using BIS monitoring to evaluate depth of anaesthesia does not bring much benefit versus the use of haemodynamic parameters, it may be beneficial for selected surgeries such as awake craniotomy, for patients with a history of awareness and in haemodynamically unstable patients.</abstract><cop>Turkey</cop><pub>Turkish Anaesthesiology and Intensive Care Society</pub><pmid>27366404</pmid><doi>10.5152/TJAR.2014.24892</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Turkish Journal of Anaesthesiology and Reanimation, 2014-06, Vol.42 (3), p.117-122 |
| issn | 2149-0937 1304-0871 1305-614X 2149-276X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4894218 |
| source | Alma/SFX Local Collection |
| subjects | Original |
| title | The Effect of BIS Usage on Anaesthetic Agent Consumption, Haemodynamics and Recovery Time in Supratentorial Mass Surgery |
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