Narcotrend monitoring allows faster emergence and a reduction of drug consumption in propofol-remifentanil anesthesia

Anesthesiology

Volumn 99, Issue 1, 2003, Pages 34-41

  Kreuer, Sascha ^b   Biedler, Andreas ^b   Larsen, Reinhard ^b   Altmann, Simone ^b   Wilhelm, Wolfram ^a  

^a SAARLAND UNIVERSITY   (Germany)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

PROPOFOL; REMIFENTANIL;

ADULT; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ANESTHESIOLOGICAL TECHNIQUES; ANESTHETIC RECOVERY; ARTICLE; BISPECTRAL INDEX; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMOGRAPHY; DRUG USE; ELECTROENCEPHALOGRAPHY; EXTUBATION; FEMALE; HEMODYNAMIC MONITORING; HUMAN; INTERMETHOD COMPARISON; MAINTENANCE THERAPY; MAJOR CLINICAL STUDY; MALE; MONITOR; PATIENT MONITORING; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TITRIMETRY;

ADULT; AGED; ALGORITHMS; ANESTHESIA RECOVERY PERIOD; ANESTHESIA, INTRAVENOUS; ANESTHETICS, INTRAVENOUS; ELECTROENCEPHALOGRAPHY; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PIPERIDINES; PROPOFOL; SEX CHARACTERISTICS; SURVIVAL ANALYSIS;

EID: 0038110672     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200307000-00009     Document Type: Article

References (30)

1. Glass PS, 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 1997; 86:836-47
2. Iselin-Chaves I, Flaishon R, Sebel P, Howell S, Gan T, Sigl J, Ginsberg B, Glass PS: The effect of the interaction of propofol and alfentanil on recall, loss of consciousness and the bispectrat index. Anesth Analg 1998; 87:949-55
3. Katoh T, Suzuki A, Ikeda K: Electroencephalographic derivatives as a tool for predicting the depth of sedation and anesthesia induced by sevoflurane. ANESTHESIOLOGY 1998; 88:642-50
4. Kearse L, Rosow C, Zaslavsky A, Connors P, Dershwitz M, Denman W: Bispectral analysis of the electroencephalogram predicts conscious processing of information during propofol sedation and hypnosis. ANESTHESIOLOGY 1998; 88:25-34
5. Liu J, Singh H, White PF: Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. ANESTHESIOLOGY 1996; 84:64-9
6. Bannister CF, Brosius KK, Sigl JC, Meyer BJ, Sebel PS: The effect of bispectral index monitoring on anesthetic use and recovery in children anesthetized with sevoflurane in nitrous oxide. Anesth Analg 2001; 92:877-81
7. Gan TJ, Glass PS, Windsor A, Payne F, Rosow C, Sebel P, Manberg P: Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. ANESTHESIOLOGY 1997; 87:808-15
8. Guignard B, Menigaux C, Dupont X, Fletcher D, Chauvin M: The effect of remifentanil on the bispectral index change and hemodynamic responses after orotracheal intubation. Anesth Analg 2001; 90:161-7
9. Johansen JW, Sebel PS, Sigl JC: Clinical impact of hypnotic-titration guidelines based on EEG bispectral index (BIS) monitoring during routine anesthetic care. J Clin Anesth 2000; 12:433-43
10. Pavlin DJ, Hong JY, Freund PR, Koerschgen ME, Bower JO, Bowdle TA: The effect of bispectral index monitoring on end-tidal gas concentration and recovery duration after outpatient anesthesia. Anesth Analg 2001; 93:613-9
11. Song D, Joshi GP, White PF: Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. ANESTHESIOLOGY 1997; 87:842-8
12. Yli-Hankala A, Vakkuri A, Annila P, Korttfla K: EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: Analysis of direct costs and immediate recovery. Acta Anaesthesiol Scand 1999; 43:545-9
13. Kugler J: Elektroenzephalographie in Klinik und Praxis. Stuttgart, New York, Thieme, 1981
14. Schultz B, Schultz A, Grouven U: Sleeping stage based systems (Narcotrend), New Aspects of High Technology in Medicine 2000. Edited by Bruck HP, Koeckerling F, Bouchard F, Schug-Pass C. Bolognia, Monduzzi Editore, 2000, pp 285-91
15. Schultz B, Grouven U, Schultz A: Automatic classification algorithms of the EEG monitor Narcotrend for routinely recorded EEG data from general anaesthesia: A validation study. Biomed Tech 2002; 47:9-13
16. Kreuer S, Biedler A, Larsen R, Schoth S, Altmann S, Wilhelm W: The Narcotrend - A new EEG monitor designed to measure the depth of anaesthesia: A comparison with bispectral index monitoring during propofol-remifentanil-anaesthesia. Anaesthesist 2001; 50:921-5
17. Garrioch MA, Fitch W: Anaesthesia for carotid artery surgery. Br J Anaesth 1993; 71:569-79
18. Johansen J, Sebel P: Development and clinical application of electroencephalographic bispectrum monitoring. ANESTHESIOLOGY 2000; 93:1336-44
19. Liu J, Singh H, White PF: Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation. Anesth Analg 1997; 84:185-9
20. Bruhn J, Lehmann LE, Roepcke H, Bouillon TW, Hoeft A: Shannon entropy applied to the measurement of the electroencephalographic effects of desflurane. ANESTHESIOLOGY 2001; 95:30-5
21. O'Connor MF, Daves SM, Tung A, Cook RI, Thisted R, Apfelbaum J: BIS monitoring to prevent awareness during general anesthesia. ANESTHESIOLOGY 2001; 94:520-2
22. Drover DR, Lemmens HJ, Pierce ET, Plourde G, Loyd G, Ornstein E, Prichep LS, Chabot RJ, Gugino L: Patient State Index: Titration of delivery and recovery from propofol, alfentanil, and nitrous oxide anesthesia. ANESTHESIOLOGY 2002; 97:82-9
23. Struys M, Versichelen L, Byttebier G, Motier E, Moerman A, Rolly G: Clinical usefulness of the bispectral index for titrating propofol target effect-site concentration. Anaesthesia 1998; 53:4-12
24. Olofsen E, Dahan A: The dynamic relationship between end-tidal sevoflurane and isoflurane concentrations and bispectral index and spectral edge frequency of the electroencephalogram. ANESTHESIOLOGY 1999; 90:1345-53
25. Roizen MF, Toledano A: Technology assessment and the "learning contamination" bias. Anesth Analg 1994; 79:410-2
26. Ciccone GK, Holdcroft A: Drugs and sex differences: A review of drugs relating to anaesthesia. Br J Anaesth 1999; 82:255-65
27. Mencke T, Soltész S, Grundmann U, Bauer M, Schlaich N, Larsen R, Fuchs-Buder T: Time course of neuromuscular blockade after rocuronium: A comparison between women and men. Anaesthesist 2000; 49:609-12
28. Gan TJ, Glass PS, Sigl J, Sebel P, Payne F, Rosow C, Embree P: Women emerge from general anesthesia with propofol/alfentanil/nitrous oxide faster than men. ANESTHESIOLOGY 1999; 90:1283-7
29. Loomis AL, Harvey EN, Hobart CA: Cerebral states during sleep as studied by human brain potentials. J Exp Psychol 1937; 21:127-44
30. Bender R, Schultz B, Grouven U: Classification of EEG signals into general stages of anesthesia in real-time using autoregressive models, lnformation and Classification: Concepts, Methods and Applications. Proceedings of the 16th Annual Conference of the Gesellschaft für Klassifikation e.V. Edited by Opitz O, Lausen B, Klar R. University of Dortmund, April 1-3, 1992