Related Experiment Video
Updated: Nov 17, 2025

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
The usefulness of Smart Pilot View for fast recovery from desflurane general anesthesia
Yasuhiro Morimoto1, Hiroko Shiramoto2, Manabu Yoshimura2
1Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, Ube, Yamaguchi, 755-0151, Japan. yasumorimo@gmail.com.
Introduction:
Smart Pilot View (SPV) (Dräger Medical) provide information about the estimated drug effect of anesthetic drugs. We conducted a prospective randomized trial to evaluated the recovery time in SPV-guided general anesthesia compared with usual practice in patients with desflurane general anesthesia.
Method:
Thirty-four American Society of Anesthesiologist's physical status I-II patients scheduled for elective surgery under general anesthesia were enrolled in the study. The patients were allocated to one of the following two groups: the Smart Pilot View group (group SPV) or the control group (group C). General anesthesia was induced by propofol and maintained by desflurane end-tidal concentration of 4.2%. During the procedure, desflurane concentration was adjusted to maintain BIS values between 40 and 60 and above MAC 90. In group SPV, desflurane concentration and infusion rate of remifentanil were decreased to achieve MAC 90 about 10 min before the end of the procedure. In group C, the desflurane concentration and infusion rate of remifentanil were maintained unchanged until the end of the procedure.
Results:
Fifteen patients were enrolled in group C, and seventeen of these were enrolled in group SPV. The time taken for the opening of the patient's eyes was 292 ± 53 s in group C and 218 ± 44 s in group SPV. The time taken for recovery of orientation was 451 ± 100 s in group C and 316 ± 57 s in group SPV. Both times were significantly faster in the group SPV.
Conclusion:
Smart Pilot View guided anesthesia enabled faster recovery from desflurane general anesthesia.
Related Concept Videos
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Stages of General Anesthesia
Inhalational Anesthetics: Overview
Parenteral Anesthetics: Overview
Depolarizing Blockers: Pharmocokinetics
Cardiopulmonary Resuscitation II: ACLS Airway Management

