Fatih TOPTAN, Tülin AYAZOĞLU AKARSU, Aynur ÖZENSOY, Muhittin ÇALIM, Fatih Doğu GEYİK

Bispektral İndeks (BIS) ile total intravenöz anestezi derinliği izlemi; propofol ajan tüketimi, derlenme kriterleri ve farkında olmaya etkisi

Amaç. Bispektral İndeks (BIS) ile anestezi derinliği izlemenin, kullanılan total intravenözanestezik madde tüketimi ve derlenme kriterleri ve farkında olmaya etkisini araştırmak araştırmaküzere planlandı. Yöntem. Genel anestezi ile kolesistektomi planlanan, 20-60 yaş arası, ASA I-III,60 hasta çalışmaya alındı. Olgular rasgele 2 gruba ayrıldı. Bispektral indeks monitörizasyonu ileizlenen grup; Grup BIS, hemodinamik parametrelerle izlenen grup; Grup Kontrol olaraksınıflandırıldı. Her iki grupta da anestezi indüksiyonunda 1 μg kg-1remifentanil uygulandı. Kontrolgrubunda propofol 2 mg kg-1, BIS grubunda BIS 40-60 arasında olacak şekilde ayarlandı. 0,6 mgkg-1rocuronyum ile hastalar kürarize edildi. Anestezi idamesi propofol ve remifentanil ile yapıldı.Toplam propofol tüketimi, ekstübasyon zamanı ve farkında olma kaydedildi. Bulgular.Demografik veriler gruplar arasında benzerdi. BIS grubunda propofol tüketimi (p

Effects of Monitoring total Intravenous Anesthesia depth with Bispectral Index (BIS) on propof ol consumption, recovery criteria and to be aware

Aim. We aimed to investigate the effect of monitoring the depth of anesthesia with bispectralIndex (BIS) on consumption of total intravenous anesthetic agent, recovery criteria and to beaware. Methods. ASA physical status I-II, between 20-60 age, 60 patients planned to undergoingcholecystectomy under general anesthesia were enrolled to study. Patients were randomly dividedinto 2 groups. Patients monitored by bispectral index monitoring (BIS) were classified as GroupBIS and patients monitored by hemodynamic parameters were classified as group control.Induction of anesthesia in both groups was performed with 1 mg/kg/min remifentanil. In GroupControl, propofol was adjusted to 2 mg/kg, in group BIS, propofol was adjusted to BIS 40-60. Allpatients were curarized with rocuronyum 0.6 mg kg-1. Maintenance of anesthesia was caried outwith propofol and remifentanil. Total propofol consumption and time to extubation and to beaware were also recorded. Results. Demographic data were similar between groups. In BIS group,propofol consumption (p

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