-
Zhonghua yi xue za zhi · Nov 2008
Controlled Clinical Trial[Effectiveness of bispectral index in intravenous anesthesia with remifentanil and propofol in children].
- Jian-min Zhang, Fang Wang, Zhong Xin, and Hong Lü.
- Department of Anesthesiology, Beijing Children Hospital, Beijing 100045, China.
- Zhonghua Yi Xue Za Zhi. 2008 Nov 11;88(41):2904-6.
ObjectiveTo investigate the effectiveness of bispectral index (BIS) during intravenous anesthesia with remifentanil and propofol in children.MethodsForty ASAI or II pediatric patients undergoing selective surgery were divided into 4 equal groups according to age: Group A (< or = 3 m), Group B (> 3 m - 2 y), Group C (2 - 6 y), and Group D (6 - 12 y). In all groups, anesthesia was induced with remifentanil 1 microg/kg and propofol 3 mg/kg, maintained with remifentanil 0.25 microg . kg(-1) . min(-1) and propofol 6 mg/kg(-1) . h(-1). Scores of BIS and University of Michigan sedation scale (UMSS) were recorded before induction (T(1)), after induction (T(2)), at intubation (T(3)), at skin incision (T(4)), at stopping of anesthetics (T(5)), at spontaneous respiration (T(6)), and at extubation (T(7)). The time between stopping anesthetics and spontaneous respiration and the time of extubation were recorded respectively.Results(1) The BIS values at T(2), T(3), T(4), T(5), and T(6) were lower compared with that at T(1) in all groups (all P < 0.01). (2) There was no significant difference in the spontaneous respiration recovery time among all groups. The extubation time of Group A was much longer than those of Groups B, C, and D (all P < 0.01). (3) The UMSS scores at T(1) and T(7) in all groups were all lower than those at T(3).ConclusionBIS effectively monitors the depth of intravenous anesthesia with remifentanil and propofol.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:
![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.