PMID: 12657845Mar 27, 2003Paper

Impact of bispectral index monitoring on fast tracking of gynecologic patients undergoing laparoscopic surgery

Anesthesiology
Shireen AhmadAnnette Kinsella

Abstract

The need for increasing operating room efficiency has led to various initiatives, one of which is the elimination of mandatory admission to the phase I recovery area postoperatively, also referred to as fast tracking of ambulatory surgery patients. This Institutional Review Board-approved study was conducted to evaluate the effect of Bispectral Index (BIS) monitoring on the ability of patients to successfully bypass the phase I recovery area following gynecologic laparoscopy during general anesthesia. Ninety-nine consenting patients were randomly assigned to one of two groups: group one, in which the BIS monitor (Aspect Medical Systems, Natick, MA) was used, and group two, in which no BIS monitor was used. All patients received a standardized anesthetic that included 1 microg/kg sufentanil and sevoflurane in oxygen, titrated in group one to a BIS value of 50-60 and in group two to maintain vital signs within 20% of preoperative values. All patients received prophylactic nonsteroidal antiinflammatory drugs and antiemetics. Postoperatively, patients were evaluated using the modified Aldrete scoring system, and those who achieved a score of 9 or higher within 10 min were permitted to bypass the phase I recovery area. There was no ...Continue Reading

Associated Clinical Trials

Apr 11, 2019·Elena Crescioli

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Citations

Dec 24, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Edna ZoharBrian Fredman
Nov 24, 2006·Anesthesia and Analgesia·Isabelle AiméMarc Fischler
Nov 15, 2006·Journal of Clinical Monitoring and Computing·Leslie C Jameson, Tod B Sloan
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Richard K EllerkmannSascha Kreuer
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May 5, 2007·Current Opinion in Anaesthesiology·Daniel T Goulson
Oct 17, 2008·Gastrointestinal Endoscopy Clinics of North America·Roger D Mitty, Daniel M Wild
Nov 29, 2015·Brazilian Journal of Anesthesiology·Rogean Rodrigues NunesLuciana Cadore Stefani
Nov 11, 2015·Revista brasileira de anestesiologia·Rogean Rodrigues NunesLuciana Cadore Stefani
Sep 10, 2004·Scandinavian Journal of Caring Sciences·Karin Persson, Margareta Ostman
Dec 14, 2004·Journal of Clinical Anesthesia·Paul J St JacquesMichael S Higgins
Apr 26, 2006·Best Practice & Research. Clinical Anaesthesiology·Paul F White
Apr 26, 2006·Best Practice & Research. Clinical Anaesthesiology·Jay W Johansen
Oct 3, 2014·Journal of Clinical Monitoring and Computing·Bruno Enekvist, Anders Johansson
Jun 8, 2004·The American Journal of Gastroenterology·Shawn C Chen, Douglas K Rex
Jun 18, 2014·The Cochrane Database of Systematic Reviews·Yodying PunjasawadwongNutchanart Bunchungmongkol
Sep 27, 2019·The Cochrane Database of Systematic Reviews·Sharon R LewisYodying Punjasawadwong
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Anthony G MessinaNathan Leon Pace

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