PMID: 12826839Jun 27, 2003Paper

Narcotrend monitoring allows faster emergence and a reduction of drug consumption in propofol-remifentanil anesthesia

Anesthesiology
Sascha KreuerWolfram Wilhelm

Abstract

The Narcotrend is a new electroencephalographic monitor designed to measure depth of anesthesia, based on a six-letter classification from A (awake) to F (increasing burst suppression) including 14 substages. This study was designed to investigate the impact of Narcotrend monitoring on recovery times and propofol consumption in comparison to Bispectral Index (BIS) monitoring or standard anesthetic practice. With institutional review board approval and written informed consent, 120 adult patients scheduled to undergo minor orthopedic surgery were randomized to receive a propofol-remifentanil anesthetic controlled by Narcotrend, by BIS(R), or solely by clinical parameters. Anesthesia was induced with 0.4 micro x kg-1 x min-1 remifentanil and a propofol target-controlled infusion at 3.5 microg/ml. After intubation, remifentanil was reduced to 0.2 micro x kg-1 x min-1, whereas the propofol infusion was adjusted according to clinical parameters or to the following target values: during maintenance to D(0) (Narcotrend) or 50 (BIS); 15 min before the end of surgery to C(1) (Narcotrend) or 60 (BIS). Recovery times were recorded by a blinded investigator, and average normalized propofol consumption was calculated from induction and main...Continue Reading

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Citations

May 3, 2005·Der Anaesthesist·W WilhelmS Kreuer
May 29, 2007·Der Anaesthesist·S KreuerT Bouillon
Jan 23, 2008·Der Anaesthesist·G N SchmidtP Bischoff
Sep 14, 2012·TheScientificWorldJournal·Xinzhong ChenBerthold Bein
Apr 25, 2006·Anesthesia and Analgesia·Richard Klaus EllerkmannJörgen Bruhn
Nov 24, 2006·Anesthesia and Analgesia·Isabelle AiméMarc Fischler
Sep 28, 2007·Anesthesia and Analgesia·Alfred W DoenickeGerhard Schneider
Jan 1, 2010·Sensors·Bojan Musizza, Samo Ribaric
Feb 21, 2013·World Journal of Gastrointestinal Endoscopy·Somchai Amornyotin
May 30, 2013·Indian Journal of Anaesthesia·S Bala Bhaskar
Mar 28, 2008·Journal of Clinical Monitoring and Computing·Sascha KreuerWolfram Wilhelm
Aug 28, 2009·Journal of Clinical Monitoring and Computing·Sascha KreuerStefan Ziegeler
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Richard K EllerkmannSascha Kreuer
Oct 7, 2006·Current Opinion in Anaesthesiology·Matthew T V ChanKeith Y C Goh
Mar 23, 2006·Current Opinion in Anaesthesiology·Martin Schuster, Thomas Standl
Aug 5, 2009·Current Opinion in Anaesthesiology·Ben Julian A PalancaMichael S Avidan
Mar 31, 2006·Anesthesiology·Jaakko G M KlockarsTomi Taivainen
Oct 27, 2006·Anesthesiology·Christopher A StonellLeonard Lee
Apr 9, 2005·European Journal of Anaesthesiology·S KreuerW Wilhelm
Jun 4, 2008·Expert Opinion on Pharmacotherapy·Peter KrankeLeopold H Eberhart
Jun 15, 2011·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Somchai AmornyotinSiriporn Kongphlay
Apr 18, 2009·Computer Methods and Programs in Biomedicine·Vasile V MocaGordon Pipa
Sep 29, 2007·Best Practice & Research. Clinical Anaesthesiology·Paul S Myles
Nov 29, 2015·Brazilian Journal of Anesthesiology·Rogean Rodrigues NunesLuciana Cadore Stefani
Mar 9, 2007·Anesthesiology Clinics·T Andrew Bowdle
Nov 11, 2015·Revista brasileira de anestesiologia·Rogean Rodrigues NunesLuciana Cadore Stefani

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