EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery

Acta Anaesthesiologica Scandinavica
A Yli-HankalaK Korttila

Abstract

Recent studies have suggested that electroencephalogram (EEG) bispectral index (BIS) monitoring can improve recovery after anaesthesia and save money by shortening patients' postoperative stay. We wanted to evaluate the direct costs of BIS monitoring and to measure immediate recovery after anaesthesia in patients with or without BIS monitoring. Eighty patients undergoing gynaecological surgery were studied. At first, 40 patients were randomized to receive either propofol or sevoflurane anaesthesia. In these patients, BIS was collected but the information was not displayed. Thereafter, the anaesthesiologists were trained to follow and understand the BIS information, and 40 patients were anaesthetized with aid of the monitoring. Recovery times were measured by a study coordinator. Drug consumption was calculated. BIS monitoring improved the immediate recovery after propofol anaesthesia, while no differences were seen in patients receiving sevoflurane. The consumption of both propofol and sevoflurane decreased significantly (29% and 40%, respectively). BIS monitoring increased direct costs in these patients; the break-even times (704 min for propofol and 282 min for sevoflurane) were not reached. BIS monitoring decreased the consu...Continue Reading

Citations

Jan 10, 2008·Intensive Care Medicine·Gustavo A Ospina-TascónJean-Louis Vincent
Jan 24, 2007·European Journal of Anaesthesiology·I CoskunerK Elcicek
Mar 1, 2000·Acta Anaesthesiologica Scandinavica·A Yli-Hankala
Nov 7, 2000·Acta Anaesthesiologica Scandinavica·E SeitsonenK Korttila
Feb 24, 2001·Acta Anaesthesiologica Scandinavica·B GuignardM Chauvin
Jul 26, 2002·Acta Anaesthesiologica Scandinavica·H MäättänenJ Jakobsson
May 26, 2001·Anesthesiology·M F O'ConnorJ Apfelbaum
Dec 26, 2001·Anesthesiology·Thomas N Spackman, Martin D Abel
Jun 7, 2003·European Journal of Anaesthesiology·H BaşarA Apan
Jan 12, 2005·Pediatric Emergency Care·Frank L OverlyJames G Linakis
Aug 4, 2010·European Journal of Anaesthesiology·Ioannis SoumpasisChristos Iatrou
Jul 30, 2002·Anesthesia and Analgesia·Paul F White
Jun 24, 2003·Anesthesia and Analgesia·Sinikka MünteGabriele Kraus
Apr 25, 2006·Anesthesia and Analgesia·Richard Klaus EllerkmannJörgen Bruhn
Nov 24, 2006·Anesthesia and Analgesia·Isabelle AiméMarc Fischler
Dec 7, 2007·American Journal of Veterinary Research·Daniela CampagnolAntônio J A Aguiar
Jan 27, 2006·Journal of Clinical Monitoring and Computing·P Ruiz-GimenoG Aguilar
Mar 28, 2008·Journal of Clinical Monitoring and Computing·Sascha KreuerWolfram Wilhelm
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Richard K EllerkmannSascha Kreuer
Oct 18, 2012·The Journal of Surgical Research·Konstantinos KonstantopoulosArgyro Mela
Feb 24, 2005·Paediatric Anaesthesia·Isabelle Murat, Isabelle Constant
Aug 31, 2007·Journal of Advanced Nursing·Jakob I Vedtofte, Lars S Rasmussen
Nov 3, 2007·Acta Anaesthesiologica Scandinavica·M-L LindholmR H Sandin
Feb 26, 2009·Veterinary Anaesthesia and Analgesia·Piedad N Henao-GuerreroDave S Hodgson
Feb 4, 2005·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Frank L OverlyJames G Linakis
Apr 26, 2006·Best Practice & Research. Clinical Anaesthesiology·Jay W Johansen
Nov 22, 2005·Journal of Clinical Anesthesia·George VretzakisGeorge Bougioukas
Mar 13, 2003·Acta Anaesthesiologica Scandinavica·M LuginbühlT W Schnider
Apr 12, 2000·European Journal of Anaesthesiology·M T Chan, T Gin
Oct 28, 2014·Clinical Oral Investigations·Mitsutaka SugimuraHitoshi Niwa
Feb 5, 2015·Journal of Pharmacokinetics and Pharmacodynamics·Pil-Jong KimTeo Jeon Shin
Mar 20, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Geetanjali ChilkotiAshok Kumar Saxena

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.