Narcotrend or bispectral index monitoring during desflurane-remifentanil anesthesia: a comparison with a standard practice protocol.

Anesthesia and Analgesia
S KreuerW Wilhelm

Abstract

Bispectral Index (BIS) (Aspect Medical Systems, Newton, MA) and Narcotrend (MonitorTechnik, Bad Bramstedt, Germany) are monitoring devices that were, as others, designed to assess the depth of anesthesia. Meanwhile, a number of studies indicate that with total IV anesthesia, BIS and Narcotrend have comparable effects on drug consumption and recovery times whereas comparative clinical data for volatile anesthetics are still missing. Therefore, we designed the present prospective, randomized, and double-blinded study to compare the effects of BIS and Narcotrend monitoring during desflurane-remifentanil anesthesia and versus a standard anesthetic practice protocol. One-hundred-twenty adult patients scheduled for minor orthopedic surgery were randomized to receive a desflurane-remifentanil anesthetic controlled either by Narcotrend or by BIS or solely by clinical variables. Anesthesia was induced with 0.4 microg x kg(-1) x min(-1) remifentanil and 2 mg/kg propofol. After tracheal intubation, remifentanil was infused at a constant rate of 0.2 microg x kg(-1) x min(-1) whereas desflurane in 1.5 L/min O(2)/air was adjusted according to clinical variables or the following target values: during maintenance of anesthesia to a value of "D...Continue Reading

References

Oct 1, 1993·British Journal of Anaesthesia·M A Garrioch, W Fitch
Oct 27, 1998·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·W WilhelmR Larsen
Feb 24, 2001·Acta Anaesthesiologica Scandinavica·B GuignardM Chauvin
Dec 18, 2002·Der Anaesthesist·W WilhelmUNKNOWN Narcotrend-Studiengruppe
Mar 13, 2003·Acta Anaesthesiologica Scandinavica·M LuginbühlT W Schnider
Jul 2, 2003·Der Anaesthesist·W WilhelmR Larsen
Dec 24, 2003·Der Anaesthesist·B SchultzA Schultz

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Citations

Jan 23, 2008·Der Anaesthesist·G N SchmidtP Bischoff
Aug 31, 2013·Drug Design, Development and Therapy·Digui WengChunni Yang
Dec 3, 2014·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Dru Riddle
Jul 5, 2006·Journal of Clinical Monitoring and Computing·James Feld, William E Hoffman
Mar 28, 2008·Journal of Clinical Monitoring and Computing·Sascha KreuerWolfram Wilhelm
Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Richard K EllerkmannSascha Kreuer
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
Apr 26, 2006·Best Practice & Research. Clinical Anaesthesiology·S Kreuer, W Wilhelm
Jun 18, 2014·The Cochrane Database of Systematic Reviews·Yodying PunjasawadwongNutchanart Bunchungmongkol
Mar 13, 2018·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Elif Doğan BakıRemziye Sıvacı
Nov 24, 2006·Anesthesia and Analgesia·Isabelle AiméMarc Fischler
Jul 31, 2010·European Journal of Anaesthesiology·Astrid V FahlenkampMark Coburn
Jan 26, 2018·Anesthesia and Analgesia·Thomas W L ScheerenMatthias Heringlake
Sep 27, 2019·The Cochrane Database of Systematic Reviews·Sharon R LewisYodying Punjasawadwong
Nov 7, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Matthias GörgesRichard N Merchant
Jul 11, 2020·Scientific Reports·Yan-Yuen PoonShao-Chun Wu
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Anthony G MessinaNathan Leon Pace
Nov 10, 2006·Current Opinion in Anaesthesiology

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