Cumulative duration of "triple low" state of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia is not associated with increased mortality

Anesthesiology

Volumn 121, Issue 1, 2014, Pages 18-28

  Kertai, Miklos D ^a   White, William D ^a   Gan, Tong J ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

INHALATION ANESTHETIC AGENT;

ADULT; AGE; ARTICLE; BISPECTRAL INDEX; CLEVELAND CLINICAL RISK INDEX SCORE; EMERGENCY SURGERY; FEMALE; HUMAN; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; MINIMUM LUNG ALVEOLUS CONCENTRATION; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; RISK FACTOR; SCORING SYSTEM; SURGICAL MORTALITY;

ADULT; AGE FACTORS; AGED; ANESTHESIA, INHALATION; ANESTHETICS, INHALATION; COHORT STUDIES; COMORBIDITY; CONSCIOUSNESS MONITORS; DATA INTERPRETATION, STATISTICAL; DATABASES, FACTUAL; ETHNIC GROUPS; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYPOTENSION; INTERNATIONAL CLASSIFICATION OF DISEASES; INTRAOPERATIVE PERIOD; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; POSTOPERATIVE PERIOD; PROPORTIONAL HAZARDS MODELS; RISK ASSESSMENT; SEX FACTORS; SURGICAL PROCEDURES, OPERATIVE; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 84902817743     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0000000000000281     Document Type: Article

References (27)

1. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Chaikof E, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Ornato JP, Page RL, Riegel B, Tarkington LG, Yancy CW: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. J Am Coll Cardiol 2007; 50:1707-32
2. Kheterpal S, Avidan MS: "Triple low": Murderer, mediator, or mirror. Anesthesiology 2012; 116:1176-8
3. Leslie K, Short TG: Low bispectral index values and death: The unresolved causality dilemma. Anesth Analg 2011; 113:660-3
4. 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. BIS Utility Study Group. Anesthesiology 1997; 87:808-15
5. Liu SS: Effects of Bispectral Index monitoring on ambulatory anesthesia: A meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology 2004; 101:311-5
6. Cohen NH: Anesthetic depth is not (yet) a predictor of mortality! Anesth Analg 2005; 100:1-3
7. Monk TG, Saini V, Weldon BC, Sigl JC: Anesthetic management and one-year mortality after noncardiac surgery. Anesth Analg 2005; 100:4-10
8. Lindholm ML, Träff S, Granath F, Greenwald SD, Ekbom A, Lennmarken C, Sandin RH: Mortality within 2 years after surgery in relation to low intraoperative bispectral index values and preexisting malignant disease. Anesth Analg 2009; 108:508-12
9. Leslie K, Myles PS, Forbes A, Chan MT: The effect of bispectral index monitoring on long-term survival in the B-aware trial. Anesth Analg 2010; 110:816-22
10. Kertai MD, Pal N, Palanca BJ, Lin N, Searleman SA, Zhang L, Burnside BA, Finkel KJ, Avidan MS; B-Unaware Study Group: Association of perioperative risk factors and cumulative duration of low bispectral index with intermediate-term mortality after cardiac surgery in the B-Unaware Trial. Anesthesiology 2010; 112:1116-27
11. Sessler DI, Sigl JC, Kelley SD, Chamoun NG, Manberg PJ, Saager L, Kurz A, Greenwald S: Hospital stay and mortality are increased in patients having a "triple low" of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia. Anesthesiology 2012; 116:1195-203
12. Kertai MD, Palanca BJ, Pal N, Burnside BA, Zhang L, Sadiq F, Finkel KJ, Avidan MS; B-Unaware Study Group: Bispectral index monitoring, duration of bispectral index below 45, patient risk factors, and intermediate-term mortality after noncardiac surgery in the B-Unaware Trial. Anesthesiology 2011; 114:545-56
13. Sessler DI, Sigl JC, Manberg PJ, Kelley SD, Schubert A, Chamoun NG: Broadly applicable risk stratification system for predicting duration of hospitalization and mortality. Anesthesiology 2010; 113:1026-37
14. Nickalls RW, Mapleson WW: Age-related iso-MAC charts for isoflurane, sevoflurane and desflurane in man. Br J Anaesth 2003; 91:170-4
15. Hanley JA, McNeil BJ: The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982; 143:29-36
16. Babyak MA: What you see may not be what you get: A brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med 2004; 66:411-21
17. Lemeshow S, Hosmer DW Jr: A review of goodness of fit statistics for use in the development of logistic regression models. Am J Epidemiol 1982; 115:92-106
18. van Houwelingen HC: Validation, calibration, revision and combination of prognostic survival models. Stat Med 2000; 19:3401-15
19. Niewoehner DE, Lokhnygina Y, Rice K, Kuschner WG, Sharafkhaneh A, Sarosi GA, Krumpe P, Pieper K, Kesten S: Risk indexes for exacerbations and hospitalizations due to COPD. Chest 2007; 131:20-8
20. Boersma E, Kertai MD, Schouten O, Bax JJ, Noordzij P, Steyerberg EW, Schinkel AF, van Santen M, Simoons ML, Thomson IR, Klein J, van Urk H, Poldermans D: Perioperative cardiovascular mortality in noncardiac surgery: Validation of the Lee cardiac risk index. Am J Med 2005; 118: 1134-41
21. Daley J, Khuri SF, Henderson W, Hur K, Gibbs JO, Barbour G, Demakis J, Irvin G III, Stremple JF, Grover F, McDonald G, Passaro E Jr, Fabri PJ, Spencer J, Hammermeister K, Aust JB, Oprian C: Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: Results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997; 185:328-40
22. London MJ, Hur K, Schwartz GG, Henderson WG: Association of perioperative β-blockade with mortality and cardiovascular morbidity following major noncardiac surgery. JAMA 2013; 309:1704-13
23. Birkmeyer JD, Sun Y, Wong SL, Stukel TA: Hospital volume and late survival after cancer surgery. Ann Surg 2007; 245:777-83
24. Kertai MD, Boersma E, Westerhout CM, van Domburg R, Klein J, Bax JJ, van Urk H, Poldermans D: Association between long-term statin use and mortality after successful abdominal aortic aneurysm surgery. Am J Med 2004; 116:96-103
25. Kulkarni GS, Urbach DR, Austin PC, Fleshner NE, Laupacis A: Higher surgeon and hospital volume improves longterm survival after radical cystectomy. Cancer 2013; 119: 3546-54
26. Noordzij PG, Poldermans D, Schouten O, Bax JJ, Schreiner FA, Boersma E: Postoperative mortality in The Netherlands: A population-based analysis of surgery-specific risk in adults. Anesthesiology 2010; 112:1105-15
27. Collins TC, Daley J, Henderson WH, Khuri SF: Risk factors for prolonged length of stay after major elective surgery. Ann Surg 1999; 230:251-9