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Ann Fr Anesth Reanim · Jul 2005
Case Reports[Which doses of anaesthetic agents in centenarian patients? Interest of BIS monitoring].
- S Passot and S Molliex.
- Département d'anesthésie-réanimation, hôpital Bellevue, boulevard Pasteur, 42055 Saint-Etienne cedex 02, France.
- Ann Fr Anesth Reanim. 2005 Jul 1; 24 (7): 814-7.
AbstractA 106-year-old female underwent emergency colectomy for peritonitis secondary to ischemic colitis. Following induction of anaesthesia with 18 mg etomidate (0,4 mg/kg), BIS monitoring allowed to perform surgery with an averaged desflurane end-tidal concentration and remifentanil infusion as low as 0.9% and 0.057 microg/kg/minute respectively. The mean BIS value was of 45+/-4 (min = 38, max = 50), systolic arterial pressure was maintained within+/-10% of control values during 72% of anaesthesia duration (160 min) and the maximal drop did not exceed 27%. No adrenergic agent was used. This observation underlined the interest of BIS when anaesthetic requirement are difficult to estimate rapidly.
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