Effect of intraoperative depth of anesthesia on postoperative pain and analgesic requirement: A randomized prospective observer blinded study

Journal of Anaesthesiology Clinical Pharmacology

Volumn 27, Issue 4, 2011, Pages 500-505

  Sahni, Neeru ^a   Anand, Lakesh K ^b   Gombar, K K ^c   Gombar, Satinder ^b  

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

^b GOVERNMENT MEDICAL COLLEGE AND HOSPITAL   (India)

^c INSCOL Hospital   (India)

Author keywords

A nalgesia; Bispectral index; Postoperative pain; Surgery laparoscopic cholecystectomy

Indexed keywords

ALPRAZOLAM; ISOFLURANE; MORPHINE; NITROUS OXIDE; ONDANSETRON; PROPOFOL; TRAMADOL; VECURONIUM;

ADULT; ANESTHESIA LEVEL; ARTICLE; BISPECTRAL INDEX; CHOLECYSTECTOMY; CLINICAL ARTICLE; CONTROLLED STUDY; GENERAL ANESTHESIA; HUMAN; MEAN ARTERIAL PRESSURE; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; VISUAL ANALOG SCALE;

EID: 80055086889     PISSN: 09709185     EISSN: None     Source Type: Journal    
DOI: 10.4103/0970-9185.86595     Document Type: Article

References (18)

1. Kuhn S, Cooke K, Collins M, Jones JM, Mucklow JC. Perceptions of pain relief after surgery. Br Med J 1990;300:1687-90.
2. Fredman B, Jedeikin R, Olsfanger D, Flor P, Gruzman A. Residual pneumoperitoneum: A cause of postoperative pain after laparoscopic cholecystectomy. Anesth Analg 1994;79:152-4.
3. Ekstein P, Szold A, Sagie B, Werbin N, Klausner JM, Weinbroum AA. Laparoscopic surgery may be associated with severe pain and high analgesia requirements in the immediate postoperative period. Ann Surg 2006;243:41-6.
4. Woolf CJ, Chong MS. Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993;77:362-79.
5. Henneberg SW, Rosenberg D, Jensen EW, Ahn P, Burgdorff B, Thomsen LL. Peroperative depth of anaesthesia may influence postoperative opioid requirements. Acta Anaesthesiol Scand 2005;49:293-6.
6. Gurman GM, Popescu M, Weksler N, Steiner O, Avinoah E, Porath A. Influence of the cortical electrical activity level during general anaesthesia on the severity of immediate postoperative pain in the morbidly obese. Acta Anaesthesiol Scand 2003;47:804-8.
7. Newton DEF. Awareness in anaesthesia. In: Atkinson RS, Adam P, Editors, Recent advances in anaesthesia and analgesia, No.18. New York; Churchill Livingstone; 1994. p. 39-58.
8. Roscow C, Manberg PJ. Bispectral index monitoring. Anesthesiol Clin North Am 2000;19:947-66.
9. Song D, Girish PJ, White PF. Titration of volatile anaesthetics using bispectral index facilitates recovery after ambulatory anaesthesia. Anesthesiology 1997;87:842-8.
10. Johansen JW, Seber PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology 2000;93:1336-44.
11. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev 2007;(4): CD003843.
12. Fodale V, Pratico C, Tescione M, Tanania S, Lucanto T, Santamaria LB. Tramadol does not modify the bispectral index during anaesthesia with sevoflurane and remifentanil. Br J Anaesth 2005;95:212-5.
13. Doi M, Gajraj RJ, Mantzaridis H, Kenny GN. 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 1997;78:180-4.
14. Avidan MS, Zhang L, Burnside BA, Finkel KJ, Searleman AC, Jacqueline BS, et al. Anaesthesia awareness and the Bispectral index. N Engl J Med 2008;358:1097-108.
15. Wong J, Song D, Blanshard H, Grady D, Chung F. Titration of isoflurane using BIS index improves early recovery of elderly patients undergoing orthopedic surgeries. Can J Anesth 2002;49:13-8.
16. Farag E, Chelune GJ, Schubert A, Mascha EJ. Is depth of anesthesia, as assessed by the bispectral index, related to postoperative cognitive dysfunction and recovery? Anesth Analg 2006;103:633-40.
17. Rorarius MG, Mennander S, Suominen P, Rintala S, Puura A, Pirhonen R, et al. Gabapentin for the prevention of postoperative pain after vaginal hysterectomy. Pain 2004;110:175-81.
18. Gan TJ, Ginsberg B, Grant AP, Glass PS. Double-blind, randomized comparison of ondansetron and intraoperative propofol to prevent postoperative nausea and vomiting. Anesthesiology 1996;85:1036-42.