患者位置对EEG双光谱指数和全身麻醉下的度指数的影响
概括
患者的位置变化显著影响麻醉深度监测. 变化先于双光谱指数 (BIS) 变化,这表明可能在妇科手术期间提供更敏感的麻醉深度监测.
科学领域:
- 麻醉学 麻醉学
- 神经生理学 神经生理学
- 手术监测 手术监测
背景情况:
- 术后深度监测使用电脑学双光谱指数 (BIS),和听觉唤起的潜力.
- 在妇科手术中常见的患者定位对这些指数的影响尚不清楚.
研究的目的:
- 评估患者位置变化对BIS和监测值的影响.
- 为了确定更敏感的麻醉深度监测方法用于妇科手术.
主要方法:
- 在全身麻醉下,40名妇女使用BIS和装置进行了监测.
- 数据是从卧卧,俯卧 (15°,25°) 和俯卧 (15°,25°) 位置收集的.
- BIS和值在不同位置进行了比较.
主要成果:
- 随着位置的变化,BIS和值都发生了变化 (头向下时增加,头向上时减少).
- 变化始终在BIS变化之前发生.
- 心率和平均血压与BIS和值都有相关性.
结论:
- 患者的位置显著影响BIS和值.
- 值监测似乎比BIS对位置变化更敏感,可以更早地检测变化.
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