BIS and Postoperative Recall for Sevoflurane and Enflurane during Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 381-385, 2004.
Article
Dans Coréen
| WPRIM
| ID: wpr-20040
ABSTRACT
BACKGROUND:
Generally, 0.6-0.7 MAC of anesthetics are used to minimize the effect of anesthetics on the fetus during cesarean section. Therefore the possibility of awareness is a considerable problem in cesarean section. This study was designed to compare enflurane with sevoflurane in terms of intraoperative bispectral index (BIS) and posoperative recall during a cesarean section.METHODS:
Eighty patients of ASA physical status 1 who underwent an elective cesarean section under general anesthesia were investigated in this study. Anesthesia was induced with 4 mg/kg thiopental and 1 mg/kg succinylcholine, and then maintained with O2 (2 L), N2O (2 L) and enflurane 1.0 vol% (n = 40) or sevoflurane 1.2 vol% (n = 40). We monitored BIS throughout the operation and recorded recall by asking the patients 1 day after the operation.RESULTS:
BIS values of the sevoflurane group were significantly lower than those of the enflurane group after delivery (P < 0.05). However, no patient could recall intraoperative events postoperatively.CONCLUSIONS:
Even though no patient could recall intraoperative events, high BIS values, which can produce awareness, were detected by 17.5% of patients after delivery in enflurane group. Therefore, sevoflurane is probably a better choice than enflurane in terms of preventing postoperative recall during cesarean section under general anesthesia.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Suxaméthonium
/
Thiopental
/
Césarienne
/
Enflurane
/
Foetus
/
Anesthésie
/
Anesthésie générale
/
Anesthésiques
Limites du sujet:
Femelle
/
Humains
/
Grossesse
langue:
Coréen
Texte intégral:
Korean Journal of Anesthesiology
Année:
2004
Type:
Article
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