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.
Artigo
em Chinês
| 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>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Inconsciência
/
Período de Recuperação da Anestesia
/
Monitorização Intraoperatória
/
Sufentanil
/
Anestésicos Intravenosos
/
Anestésicos Inalatórios
/
Eletroencefalografia
/
Abdome
/
Hemodinâmica
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Journal of Southern Medical University
Ano de publicação:
2010
Tipo de documento:
Artigo
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