Clinical Observation of Bispectral Index in Evaluation of the Indications of Extubation in Children′s Total Intravenous Anesthesia
- VernacularTitle:儿童全凭静脉麻醉在脑电双频指数指导下气管拔管的临床观察
- Author:
Guangjie GAO
;
Jiao QIAO
;
Dandan SONG
- Publication Type:Journal Article
- Keywords:
bispectral index;
children;
total intravenous anesthesia;
extubation
- From:
Journal of China Medical University
2015;(7):614-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of bispectral index(BIS)monitoring as an indicator for extubation sedation level after children's oper?ation by total intravenous anesthesia. Methods One hundred and eighty children(2?13 years old)were randomly divided into six groups with 30 cases in each. Group A kept BIS 56?60,and Group B 61?65,Group C 66?70,Group D 71?75,Group E 76?80,Group F 81?85 till extubation. All children were given fentanyl,propofol and cisatracurium besilate when induced,and maintained with propofol and remifentanil. All cases kept BIS 40?55 during the operation. Then the changes of electrocardiogram,mean arterial pressure,heart rate,SpO2,postoperative complications and recovery time were observed. Results Groups A and B were extubated at deep anesthesia,cycle stability,but with high incidence of adverse reactions and awaked with a long time. Groups E and F were extubated when awaked,but with greater stimulation and easier agitation. Groups C and D were lighter hemodynamic responses,less respiratory effects and less postoperative complications of anesthesia. Conclusion The BIS level of 66?75 is a good se?dation level for extubation,especially in the level of 71?75.
