Comparison of anesthesia effects between closed
10.11817/j.issn.1672-7347.2020.190489
- Author:
Ning YANG
1
,
2
,
3
;
Ming YANG
1
,
2
,
4
;
Wenping PENG
1
,
2
,
4
;
Siwen ZHAO
1
,
2
,
4
;
Jie BAO
1
,
2
,
4
;
Mingzhang ZUO
1
,
2
,
5
Author Information
1. Department of Anesthesiology, Beijing Hospital
2. National Center of Gerontology
3. Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China. yn_bjh@bjhmoh.cn.
4. Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China.
5. Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China. zuomz@163.com.
- Publication Type:Randomized Controlled Trial
- Keywords:
bispectral index;
closed-loop target controlled infusion;
open-loop target controlled infusion;
propofol;
remifentanil
- MeSH:
Abdomen/surgery*;
Aged;
Anesthesia, General;
Anesthesia, Intravenous;
Anesthetics, Intravenous;
Electroencephalography;
Female;
Humans;
Male;
Middle Aged;
Propofol;
Remifentanil;
Surgical Procedures, Operative
- From:
Journal of Central South University(Medical Sciences)
2020;45(12):1419-1424
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:Bispectral index (BIS) can reflect the depth of propofol sedation. This study aims to compare the anesthetic satisfaction, anesthetic dose, and hemodynamic changes between closed-loop target controlled infusion (CLTCI) and open-loop target controlled infusion (OLTCI) during abdominal surgery.
METHODS:From December 2016 to December 2018, 70 patients undergoing abdominal surgery under general anesthesia were selected in Beijing Hospital, including 51 males and 19 females, at the age from 49 to 65 years old. They were classified as grade I-II by the American Society of anesthesiologists (ASA) and were randomly divided into the CLTCI group and the OLTCI group (
RESULTS:In the induction stage, the percentage of adequate anesthesia time in the CLTCI group was higher than that in the OLTCI group, and the percentage of deep anesthesia time in the CLTCI group was significantly lower than that in the OLTCI group (both
CONCLUSIONS:Compared with propofol OLTCI, anesthesia with propofol CLTCI under BIS guidance can maintain a more appropriate depth of anesthesia sedation and more stable hemodynamics.
