Propofol requirement titrated to bispectral index: A comparison between hypothermic and normothermic cardiopulmonary bypass

Perfusion

Volumn 24, Issue 1, 2009, Pages 27-32

  Mathew, Preethy J ^a   Puri, G D ^a   Dhaliwal, R S ^a  

^a POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH   (India)

Author keywords

Bispectral index; Cardiopulmonary bypass; Hypothermia; Normothermia; Propofol requirement

Indexed keywords

PROPOFOL; INTRAVENOUS ANESTHETIC AGENT;

ADULT; ARTICLE; BISPECTRAL INDEX; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CONTROLLED STUDY; DRUG DOSE TITRATION; ELECTIVE SURGERY; FEMALE; HEART SURGERY; HUMAN; INDUCED HYPOTHERMIA; INTRAOPERATIVE PERIOD; MALE; PRIORITY JOURNAL; RECALL; SURGICAL PATIENT; ADOLESCENT; AGED; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CRYOANESTHESIA; DRUG ADMINISTRATION; METHODOLOGY; MIDDLE AGED; RANDOMIZED CONTROLLED TRIAL;

ADOLESCENT; ADULT; AGED; ANESTHETICS, INTRAVENOUS; CARDIOPULMONARY BYPASS; DRUG ADMINISTRATION SCHEDULE; FEMALE; HUMANS; HYPOTHERMIA, INDUCED; MALE; MIDDLE AGED; PROPOFOL; YOUNG ADULT;

EID: 70349254156     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1177/0267659109106071     Document Type: Article

References (16)

1. Lee, H, Khoo, Y, Chua, B, Ng, A, Tan, S, Chew, S. Pharmacokinetics of propofol infusion in Asian patients undergoing coronary artery bypass grafting. Ther Drug Monit 1995; 17: 336-341.
2. Russell, GN, Wright, EL, Fox, MA, et al. Propofolfentanyl anaesthesia for coronary artery surgery and cardiopulmonary bypass. Anaesthesia 1989; 44: 205-208.
3. Hammaren, E, Yli-Hankala, A, Rosenberg, PH, Hynynen, M. Cardiopulmonary bypass induced changes in plasma concentrations of propofol and in auditory evoked potentials. Br J Anesth 1996; 77: 360-364.
4. Hynynen, M, Hammeren, E, Rosenberg, PH. Propofol sequestration within extracorporeal circuit. Can J Anaesth 1994; 41: 583-588.
5. McAllister, RG, Jr., Tan, TG. Effect of hypothermia on drug metabolism. In vitro studies with propanolol and verapamil. Pharmacology 1980; 20: 95-100.
6. Yoshitani, K, Kawaguchi, M, Takahashi, M, Kitaguchi, K, Furuya, H. Plasma propofol concentration and EEG burst suppression ratio during normothermic cardiopulmonary bypass. Br J Anesth 2003; 90: 122-126.
7. Schmidlin, D, Hager, P, Schimd, ER. Monitoring level of sedation with Bispectral EEG analysis: Comparison between hypothermic and normothermic cardiopulmonary bypass. Br J Anesth 2001; 86: 769-776.
8. Vanhemelrijk, J, Tempelhoff, R, White, PF, et al. EEG assisted titration of propofol infusion during neuroanaesthesia: Effect of nitrous oxide. J Neurosurg Anesth 1992; 4: 11-20.
9. Ahonen, J, Sahlman, A, Yli-Hankala, A, et al. No effect of cardiopulmonary bypass on hypnosis in patients anaesthetized with propofol and alfentanil. Br J Anesth 2004; 92: 137-139.
10. Liu, J, Singh, H, White, PF. Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol induced sedation. Anesth Analg 1997; 84: 185-189.
11. Puri, GD, Murthy, SS. Bispectral index monitoring in patients undergoing cardiac surgery under cardiopulmonary bypass. Eur J Anaesthesiol 2003; 20: 451-456.
12. Nordstrom, O, Engstrom, AM, Persson, S, et al. Incidence of awareness in total i.v. anaesthesia based on propofol, alfentanil and neuromuscular blockade. Acta Anaesthesiol Scand 1997; 41: 978-984.
13. Kuipers, JA, Boer, F, Olieman, W, et al. First-pass lung uptake and pulmonary clearance of propofol: Assessment with a recirculatory indocyanine green pharmacokinetic model. Anaesthesiology 1999; 91: 1780-1787.
14. Wilkinson, G. Pharmacokinetics of drug disposition: Hemodynamic considerations. Ann Rev Pharmacol 1975; 15: 11-27.
15. Harris, DNF, Bailey, SM, Smith, PLC, et al. Brain swelling in the first hour after coronary artery bypass surgery. Lancet 1993; 342: 586-587.
16. Anderson, RE, Li, T-Q, Hindmarsh, T, Settergren, G, Vaage, J. Increased extracellular brain water coronary artery bypass grafting is avoided by off-pump surgery. J Cardiothorac Vasc Anesth 1999; 13: 698-702.