The interaction between fentanyl and propofol during emergence from anesthesia: Monitoring with the EEG-Bispectral Index™

Journal of Clinical Anesthesia

Volumn 15, Issue 2, 2003, Pages 103-107

  Mi, Weidong ^a   Sakai, Tetsuhiro ^a   Kudo, Tsuyoshi ^a   Kudo, Mihoko ^a   Matsuki, Akitomo ^a  

^a HIROSAKI UNIVERSITY   (Japan)

Author keywords

Anesthesia; Anesthesia emergence; Bispectral index; Drug interaction; Fentanyl plasma concentration; Intravenous; Propofol

Indexed keywords

FENTANYL; PROPOFOL;

ADULT; AGING; AROUSAL; ARTICLE; BISPECTRAL INDEX; BLOOD SAMPLING; CLINICAL ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONSCIOUSNESS; DEMOGRAPHY; DEVICE; DRUG BLOOD LEVEL; DRUG EFFECT; DRUG ISOLATION; DRUG USE; ELECTROENCEPHALOGRAM; EMERGENCY TREATMENT; FEMALE; GENERAL ANESTHESIA; HEMODYNAMIC MONITORING; HUMAN; MALE; MEDICAL ASSESSMENT; OPERATION DURATION; ORIENTATION; PRIORITY JOURNAL; PROSPECTIVE STUDY;

EID: 0037360901     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0952-8180(02)00510-X     Document Type: Article

References (15)

1. Moffat A.C., Murray A.W., Fitch W. Opioid supplementation during propofol anesthesia. The effects of fentanyl or alfentanil on propofol anaesthesia in daycase surgery. Anaesthesia. 44:1989;644-647.
2. Short T.G., Plummer J.L., Chui P.T. Hypnotic and anaesthetic interactions between midazolam, propofol and alfentanil. Br J Anaesth. 69:1992;162-167.
3. Smith C., McEwan A.I., Jhareri R., et al. The interaction of fentanyl on the Cp50 of propofol for loss of consciousness and skin incision. Anesthesiology. 81:1994;820-828.
4. Rampil I.J. A primer for EEG signal processing in anesthesia. Anesthesiology. 89:1998;980-1002.
5. Glass P.S., Bloom M., Kearse L., Rosow C., Sebel P., Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology. 86:1997;836-847.
6. Leslie K., Sessler D., Schroeder M., Walters K. Propofol blood concentration and Bispectral Index predict suppression of learning during propofol/epidural anesthesia in volunteers. Anesth Analg. 81:1995;1269-1274.
7. Gan T.J., Glass P.S., Windsor A., et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology. 87:1997;808-815.
8. Wessen A., Persson P.M., Nilsson A., Hartvig P. Concentration-effect relationships of propofol after total intravenous anesthesia. Anesth Analg. 77:1993;1000-1007.
9. Shafer A., Doze V.A., Shafer S.L., White P.F. Pharmacokinetics and pharmacodynamics of propofol infusions during general anesthesia. Anesthesiology. 69:1988;348-356.
10. Vuyk J., Engbers F.H., Lemmens H.J., et al. Pharmacodynamics of propofol in female patients. Anesthesiology. 77:1992;3-9.
11. Howell S., Gan T.J., Martel D., Glass D. Defining the Cp50 and BIS50 for propofol alone and propofol with alfentanil. Anesthesiology. 83:1995;A367.
12. Roberts F.L., Dixon J., Lewis G.T., Tackley R., Prys-Roberts C. Induction and maintenance of propofol anaesthesia. A manual infusion scheme. Anaesthesia. 43:1988;S14-17.
13. Liu J., Singh H., White P.F. Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation. Anesth Analg. 84:1997;185-189.
14. Doi M., Gajraj R.J., Mantzaridis H., Kenny G. Relationship between calculated blood concentration of propofol and electrophysiological variables during emergence from anaesthesia comparison of bispectral index, spectral edge frequency, median frequency and auditory evoked potential index. Br J Anaesth. 78:1997;180-184.
15. Mi W.D., Sakai T., Singh H., Kudo T., Kudo M., Matsuki A. Hypnotic endpoints vs. the bispectral index, 95% spectral edge frequency and median frequency during propofol infusion with or without fentanyl. Eur J Anaesthesiol. 16:1999;47-52.