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Narcotrend index monitoring can predict the recovery of consciousness in patients undergoing abdominal surgery / 南方医科大学学报
Journal of Southern Medical University ; (12): 1379-1381, 2010.
Article in Chinese | WPRIM | ID: wpr-336175
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the value of Narcotrend (NT) index monitoring versus standard hemodynamic parameters in predicting the recovery of consciousness in patients undergoing abdominal surgery.</p><p><b>METHODS</b>Forty ASA I or II patients undergoing elective abdominal surgery were randomized into two groups to receive sevoflurane-sufentanil anesthesia monitored by NT index or solely by clinical parameters. Anesthesia was induced with the inhalation of 8% sevoflurane and sufentanil target-controlled infusion at 0.2-0.5 ng/ml. The values of NT stage (NTS), NT index (NTI), and hemodynamic parameters (MAP and HR) were recorded during the period of recovery. The prediction probability (Pk) of each parameter was calculated and compared.</p><p><b>RESULTS</b>NTS and NTl were closely correlated to the changes of consciousness during the recovery from general anesthesia. The Pk values of NTS and NTI in predicting eye opening and orientation recovery were 0.95, 0.92, and 0.92, 0.89, respectively, obviously higher than the Pk values of MAP and HR (P<0.05).</p><p><b>CONCLUSION</b>NT monitoring can be used to effectively predict the recovery of consciousness in patients undergoing abdominal surgery and facilitates a significant reduction of the recovery time and sufentanil dosage during a sevoflurane-sufentanil anesthesia.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Unconsciousness / Anesthesia Recovery Period / Monitoring, Intraoperative / Sufentanil / Anesthetics, Intravenous / Anesthetics, Inhalation / Electroencephalography / Abdomen / Hemodynamics Type of study: Controlled clinical trial / Prognostic study Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: Chinese Journal: Journal of Southern Medical University Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Unconsciousness / Anesthesia Recovery Period / Monitoring, Intraoperative / Sufentanil / Anesthetics, Intravenous / Anesthetics, Inhalation / Electroencephalography / Abdomen / Hemodynamics Type of study: Controlled clinical trial / Prognostic study Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: Chinese Journal: Journal of Southern Medical University Year: 2010 Type: Article