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在接受选择性手术的儿科患者中,BIS指导的sevoflurane定位:一个随机对照试验

T Wesley Templeton¹, Gijo Alex², Jean D Eloy³

¹Department of Anesthesiology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Paediatric anaesthesia

|January 4, 2025

概括

4-18岁儿童双光谱指数 (BIS) 监测在麻醉期间减少了sevoflurane的使用. 虽然BIS指导降低了麻醉剂度,但它没有显著改变恢复时间或质量.

科学领域:

麻醉学麻醉学
神经科学是一个神经科学.
儿科医学儿科医学

背景情况:

经过处理的脑电图 (EEG) 监测,例如双光谱指数 (BIS),可以优化儿科患者的麻醉管理.
利用BIS监测可能会减少所需的麻醉剂的总量,同时确保足够的麻醉深度.
这项研究调查了BIS监测在指导儿童服用sevoflurane时的有效性.

研究的目的:

评估使用BIS监视器指导sevoflurane的使用是否会降低4-18岁儿童患者的平均潮结束时的sevoflurane度.
为了比较儿童的BIS指导和标准麻醉护理之间的麻醉需求和恢复概况.

主要方法:

4-18岁的儿科患者被随机分为两个组:BIS导向麻醉和对照组.
塞沃兰是主要的维持麻醉剂;BIS指导组的目标BIS值为45-60,而对照组对BIS值是盲目的.
主要结果是平均终端潮度;次要结果包括恢复评估 (释放时间,准备状态和质量).

主要成果:

总共有180名参与者被随机分配,其中BIS组有84名,对照组有86名.
与对照组相比,BIS指导的组在所有年龄组中显示出较低的平均潮末塞沃氨酸度.
两组人群在恢复结果 (包括退院时间,准备程度或恢复质量) 中没有发现显著差异.

结论:

与标准护理相比,BIS导向麻醉导致儿科患者的平均潮末塞沃氨度较低.
尽管减少了sevoflurane的使用,但BIS监测并没有导致儿科患者的康复概况有显著差异.
双光谱指数是定位全身麻醉和优化儿童sevoflurane管理的宝贵工具.

关键词:

双光谱指数 (BIS) 是指两光谱的指数.大脑监测监测大脑监测这是麻醉的深度.吸入麻醉剂是一种麻醉剂.经过加工的EEG.

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