多种麻醉剂等效强度指标的可行性研究,通过响应表面模型得出的最小气泡度规范化
Haopeng Zhang1,2,3, Jiuxiang Zhang1, Xin Li1
1From the Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Anesthesia and analgesia
|April 17, 2025
概括
新的eMAC分数有效地表明多种麻醉剂的综合效力,在预测患者反应方面超过双谱指数 (BIS). 这种新工具可以帮助麻醉师管理全身麻醉的深度.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 临床测量 临床测量
背景情况:
- 最小气泡度 (MAC) 是挥发性麻醉剂功率的标准.
- 缺乏对联合麻醉疗效的定量指标.
- 建议 eMAC 分数作为总麻醉功率的指标.
研究的目的:
- 评估eMAC分数作为联合麻醉功能的指标.
- 为了比较 eMAC 分数与双光谱指数 (BIS) 的性能.
主要方法:
- 接受全身麻醉的53名患者接受了普罗波福和雷米芬坦尼尔的随机组合.
- 记录了患者对性电刺激的反应.
- 预测概率 (Pk) 是使用 eMAC 分数和 BIS 计算的.
主要成果:
- eMAC 分数显示了比BIS (0.71 ± 0.07) 更高的Pk (0.80 ± 0.06) 预测运动响应损失.
- 维护期间 eMAC 分数值一般在 1.3 到 2.6 的范围内.
- 醒来时平均eMAC分数为0.30±0.15. 在醒来时平均eMAC分数为0.30±0.15.
结论:
- 在表示对刺激的反应方面,eMAC 分数表现出比BIS更好的表现.
- 麻醉科医生对 eMAC 分数的临床用途范围很熟悉.
- eMAC 分数显示了对多种麻醉剂定位和估计麻醉深度的潜力.
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