Bispectral-Index-measured sevoflurane requirement might be decreased in individuals with major depressive disorder.

Abstract:

BACKGROUND:GABA (γ-aminobutyric acid) is the primary inhibitory neurotransmitter in the CNS and well-known target for general anesthetics. In addition, the dysregulation of GABA could be involved in the etiology of major depressive disorder (MDD). In this study, we aimed to determine whether MDD has any effect on anesthetic requirement measured by Bispectral Index (BIS). METHODS:This study was designed as a prospective, observational study, registered ANZCTR (ACTRN 12616001295437), with institutional review board approval and written informed consent. Inpatients who were planned to undergo laparoscopic cholecystectomy as an elective surgery, were enrolled in this study. Patients were divided into two groups, based on the results of the Beck Depression Inventory (BDI) which was assessed the 21-item self-administered scale measuring various symptoms of depression. If the BDI score was under 10, it was accepted as control group. Patients were consulted to the psychiatrist if the BDI score was 17 or more. Patients who were diagnosed as MDD by the psychiatrist, were classified as MDD group. Anesthesia was standardized, and delivered sevoflurane concentration was adjusted according to BIS value in both groups. Parameters of the study were heart rate, non-invasive arterial blood pressure, arterial oxygen saturation, BIS, end-tidal carbon dioxide, and end-tidal concentration of sevoflurane at 5-minute intervals during the operation. RESULTS:End-tidal concentration of sevoflurane was found to be lower in MDD group during the maintenance phase of anesthesia. Mean end-tidal concentration of sevoflurane were significantly lower in MDD group (1.28±0.15) than control group (1.52±0.22) (P<0.0001). BIS values were lower at 5- and 10-minute intervals in MDD group in comparison with control group. BIS values were similar at other time intervals in both groups during surgery. CONCLUSIONS:MDD might result in decreased end-tidal concentration of sevoflurane. Further study is required to identify the relationship between MDD and anesthetics.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Erden V,Güler C,Seven S,Bağ S,Kara AG,Kirgezen Ş

doi

10.23736/S0375-9393.17.11713-X

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

33-39

issue

1

eissn

0375-9393

issn

1827-1596

pii

S0375-9393.17.11713-X

journal_volume

84

pub_type

杂志文章
  • An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics.

    abstract:BACKGROUND:High-volume low-pressure (HVLP) endotracheal tube (ETT) cuffs for critically ill patients often deflate during the course of mechanical ventilation. We performed an in-vitro study to comprehensively assess HVLP cuff deflation dynamics and potential preventive measures. METHODS:We evaluated 24-hour deflation...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13133-1

    authors: Marti JD,Li Bassi G,Isetta V,Lazaro MR,Aguilera-Xiol E,Comaru T,Battaglini D,Meli A,Ferrer M,Navajas D,Pelosi P,Chiumello D,Torres A,Farre R

    更新日期:2019-08-01 00:00:00

  • [Atracurium in general surgery].

    abstract::The particular characteristics of atracurium in comparison with available relaxant agents are briefly analyzed. Afterwards the results of a clinical investigation regarding a group of 56 patients who underwent major abdominal surgery are referred to. The most important elements of this investigation involve: the primi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Tamponi G,Bottari W,Camorali C,Favilli L,Nieddu M,Salvi E

    更新日期:1989-05-01 00:00:00

  • Failure of an Abiomed left ventricular assist device in association with factor VIIa administration.

    abstract::Factor VIIa might be a useful treatment for coagulopathy and massive hemorrhage following implantation of a mechanical circulatory assist device, but there is a theoretical risk of device thrombosis. To date this complication has not been reported. We describe the first case of clotting of a left ventricular assist de...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Reade MC,Toyoda YN,Murray HN

    更新日期:2008-04-01 00:00:00

  • [Targets and prevention of complications in nursing of subarachnoid hemorrhage].

    abstract::A qualified nursing care is mandatory in patients after SAH. Clinical and instrumental monitoring are basilar to assure the rapid control of dangerous ICP or CPP changes and of epileptic crisis. Prophylaxis of infections is greatly minimized when coherent treatments are applied to any invasive devices, patient body, p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Bellis P,Traverso F,Zattoni PL

    更新日期:1998-05-01 00:00:00

  • [Effectiveness of regional anesthesia for loco-regional carotid surgery. Retrospective review of 147 interventions].

    abstract::The Authors present a retrospective review that compares general anesthesia with regional anesthesia performed during carotid endarterectomy surgery. The study includes 147 procedures, performed on 144 patients: 76 had general anesthesia and 71 had regional anesthesia. After emphasizing the importance of conscience pr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bartoloni A,Savron F,Rigo V,Pasetto A,Spezie C,Ischia A,Perbellini A

    更新日期:1991-03-01 00:00:00

  • A preoperative single dose of methadone for moderate-to-severely painful surgery reduces postoperative morphine consumption.

    abstract:BACKGROUND:Data from patient questionnaires reveal that the intensity of postoperative pain is widely underestimated. Insufficient pain control may contribute to impaired short- and long-term outcome. Preoperative administration of methadone might potentially improve postoperative pain control due to its long pharmacol...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.23736/S0375-9393.19.13136-7

    authors: Bastian K,Buehler PK,Slizyte D,Rüst CA,Toft K,Studer W,Lecheler L,Aguirre J,Siegemund M,Hollinger A

    更新日期:2019-10-01 00:00:00

  • New approaches for empiric therapy in Gram-positive sepsis.

    abstract::Nosocomial bloodstream infections (BSIs) have become an important cause of morbidity and mortality, particularly in intensive care units (ICUs). Gram-positive organisms are the prevalent causes of antibiotic-resistant BSI, especially Staphylococcus aureus, coagulase-negative staphylococci and enterococci. In recent ye...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Bassetti M,Ginocchio F,Giacobbe DR

    更新日期:2011-08-01 00:00:00

  • Renal effects of low dose aprotinin in pediatric cardiac surgery.

    abstract::Two groups of 15 children aged from 15 days to 6 years, undergoing surgery on cardiopulmonary by-pass for congenital heart disease have been retrospectively analyzed. Group A received a low-dose aprotinin treatment (30,000 KIU/kg in the priming solution); group C (control group) did not receive any aprotinin. Groups w...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Ranucci M,Corno A,Pavesi M,Cirri S,Menicanti L,Frigiola A,Celoria R,Ditta A,Boncilli A,Conti D

    更新日期:1994-07-01 00:00:00

  • Biomarkers in sepsis: towards precision medicine for the prevention of adverse outcomes.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,社论

    doi:10.23736/S0375-9393.18.13260-3

    authors: Montini L,Antonelli M

    更新日期:2019-04-01 00:00:00

  • Modulation of inflammation during acute normovolemic anemia with different fluid replacement.

    abstract:BACKGROUND:Acute normovolaemic anemia (ANA) frequently occurs during cardiopulmonary bypass (CPB) and major surgeries. We investigated whether fluids (with different compositions) used to replace blood elicit any degree of systemic or lung inflammatory response. METHODS:We evaluated systemic and pulmonary inflammatory...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kahvegian M,Aya Otsuki D,Holms C,Oliveira Massoco C,Costa Auler Júnior JO,Tabacchi Fantoni D

    更新日期:2013-10-01 00:00:00

  • [Antibiotic therapy in Italy. Current data and proposals for the future].

    abstract::Data concerning antibiotic therapy in italian ICUs are presented. These data were not directly measured: they have been derived from a previous study on costs of intensive care treatments. 78% of 1065 patients received antibiotic therapy. Empirical therapy was started in 82% of septic patients. 93% of septic patients ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Malacarne P,Rossi C

    更新日期:2001-04-01 00:00:00

  • Goal-directed fluid management in free flap surgery for cancer of the head and neck.

    abstract:BACKGROUND:Goal-directed fluid management using stroke volume variation (SVV) analysis is not well studied in free flap reconstruction surgery in patients with head and neck cancer. METHODS:Patients operated due to cancer of the head and neck with free flap reconstruction during 2008-2010 and 2012-2014 in Oulu Univers...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.16.11451-8

    authors: Lahtinen SL,Liisanantti JH,Poukkanen MM,Laurila PA

    更新日期:2017-01-01 00:00:00

  • Methods of lung separation.

    abstract::During video assisted thoracoscopy (VAT) the lung should be well collapsed. When the separation of the lungs is strictly indicated, use of difficult tube, such as double lumen tube (DLT) or Univent tube cannot be avoided, despite the presence of a difficult airway. If a patient has a recognized difficult airway, awake...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cohen E

    更新日期:2004-05-01 00:00:00

  • [Tracheal cannulation technics in cervical vertebral and spinal cord injuries. A comparative study].

    abstract::Cervical vertebral dislocations and fractures require the complete immobility of the neck until an intervention of stabilization of the spinal cord, by surgery or external means, is performed. Endotracheal intubation, which might represent a harmful operation, can become difficult when the stabilization of the spinal ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Giron GP,Ori C

    更新日期:1989-03-01 00:00:00

  • Performance of the laryngeal tube for airway management during cardiopulmonary resuscitation: a systematic review and meta-analysis.

    abstract:BACKGROUND:Sudden cardiac arrest is one of the leading causes of death in Europe and the whole world. Effective chest compressions and advanced airway management have been shown to improve survival rates. Supraglottic airway devices such as the laryngeal tube (LT) are a well-known strategy for patients with cardiac arr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14446-8

    authors: Hinkelbein J,Schmitz J,Mathes A,De Robertis E

    更新日期:2020-12-10 00:00:00

  • [Theoretical bases of a cardio-synchronised jet injection system into the vena cava].

    abstract::Aim of this paper is to present a procedure aimed at raising the flow rate in the vena cava. To this purpose some fluid is injected at high speed in the vessel, accelerating the flow and dragging the stagnating flow upstream the catheter. In order to raise the efficiency of the system and to avoid damage to heart valv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Banetta L,Santini E,Banetta S

    更新日期:2002-03-01 00:00:00

  • [Cardiac rupture in thoracic trauma].

    abstract::Thoracic trauma frequently involve damage to the cardiac structures and in the worst cases, the progressive degeneration and necrosis of the damaged tissue lead to cardiac rupture. The high mortality resulting from cardiac tamponade requires the prompt execution of diagnostic tests to provide as much useful informatio...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Siniscalchi A,Barbieri A,De Pietri L,Rossi R

    更新日期:2000-06-01 00:00:00

  • [Appropriate arterial pressure management for subarachnoid hemorrhage ].

    abstract::A correct assessment of arterial pressure state during SAH is one of most critical issue in neurologic intensive care. It is important to evaluate two different clinical conditions: a) during SAH when the aneurysm is open, b) after aneurysmal clipping or embolization. The authors propose pressure parameters appropriat...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: De Vivo P,Ciritella P,Del Gaudio A

    更新日期:1998-05-01 00:00:00

  • Lumbar erector spinae plane block for postoperative analgesia after nephrectomy followed by emergent complication surgery.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 信件

    doi:10.23736/S0375-9393.19.13663-2

    authors: Canturk M

    更新日期:2019-09-01 00:00:00

  • [Propofol, fentanyl, nitrous oxide: useful and current combination?].

    abstract::The introduction of use of propofol in the anesthetists' pharmacopoeia has reinvigorated the research for a totally intravenous anaesthesia, for which the Authors propose a diagram. However, in experience related to the supplementary use of N2O, in virtue of its analgesic power, demonstrates yet another utility, permi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Taddia G,Affuso A,Navi A,Orlandi C,Pompei F,Damanzo A

    更新日期:1992-04-01 00:00:00

  • [Orthopaedic day surgery in Emilia-Romagna].

    abstract::It is well known that the organizational model of day surgery, concerning surgical problems defined by the literature as minor, has the aim of optimising the use of hospital resources and facilitating patients and their families, from a psychological and social point of view, by reducing hospitalisation time and the a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Rolli M,Rodler M,Petropulacos K,Baldi R

    更新日期:2001-09-01 00:00:00

  • Interfaces for noninvasive mechanical ventilation: technical aspects and efficiency.

    abstract::Noninvasive mechanical ventilation (NIV) has become a standard of care in select patients with both hypercapnic and non-hypercapnic acute respiratory failure (ARF). Consequent to the increasing use of NIV, new interfaces of different designs, shapes, sizes, and materials have been proposed for clinical use in recent y...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pisani L,Carlucci A,Nava S

    更新日期:2012-10-01 00:00:00

  • [Neuroleptic malignant syndrome. Problems of differential diagnosis. Description of a clinical case].

    abstract::Neuroleptic malignant syndrome (NMS) in its most severe form ranging from disorders of consciousness to coma is now reported relatively frequently in intensive care journals. Having observed such a case in the intensive care ward of their hospital, the Authors investigate the possibility of differential diagnosis betw...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Musto P,Vinay P,Coalda M,Bono D,Vai G

    更新日期:1992-07-01 00:00:00

  • Anesthesiological management and outcome of 100 ''beating heart'' coronary artery bypass grafting.

    abstract:AIM:The aim of this paper is to describe the anesthesiological management and the outcome of beating heart revascularization. METHODS:A prospective study has been performed in a tertiary teaching hospital on 100 consecutive patients undergoing off-pump coronary artery revascularization. The main features of anesthetic...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Zangrillo A,Gerli C,Landoni G,Sparicio D,Roberti A,Sottocorna O,Mantovani L,Scandroglio AM,Crescenzi G

    更新日期:2006-10-01 00:00:00

  • Clinical decision support system clears the way for perioperative goal directed therapy protocol adherence improvement: a reply.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,信件

    doi:10.23736/S0375-9393.19.13586-9

    authors: Menger J,Dworschak M

    更新日期:2019-06-01 00:00:00

  • Association between intra-abdominal pressure and jugular bulb saturation in critically ill patients.

    abstract:BACKGROUND:Disorders in cerebral circulation following elevated intra-abdominal pressure (IAP) may lead to silent brain ischemia, which can be serious problem in sedated critically ill patients. The aim of the present study was to analyse the possible association between jugular venous bulb pressure (JVBP) and jugular ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kotlinska-Hasiec E,Dabrowski W,Rzecki Z,Rybojad B,Pilat J,De Keulenaer B,Lng Malbrain M

    更新日期:2014-07-01 00:00:00

  • [A case of leishmaniasis in intensive care].

    abstract::A case is presented of severe visceral leishmaniasis initially misdiagnosed owing to the old age of the patient and the contemporary presence of a carcinoma of the sigmoid. Admitted in ICU for severe post operative cardiorespiratory failure. During ICU stay the patients presented a bilateral pneumothorax and a long QT...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Pastorelli M,Salvi G,Vilianis G,Musso G,Mureddu R,Verda F

    更新日期:1994-12-01 00:00:00

  • Ambulatory inguinal herniorrhaphy: paravertebral block versus spinal anesthesia.

    abstract:AIM:Inguinal herniorrhaphy (IH) is a common surgical procedure that can be successfully performed by using general, regional or local anesthesia and is usually performed in an outpatient setting. In this study, recovery profile, incidence of adverse effects, postoperative pain scores and patient satisfaction between pa...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Akcaboy EY,Akcaboy ZN,Gogus N

    更新日期:2009-12-01 00:00:00

  • [Quality control in anesthesia. A new frontier].

    abstract::For several years now, the need for improving healthcare quality has determined the adoption of a businesslike philosophy in American hospitals, through quality control and improvement systems. In Italy, the introduction of this business concept in public healthcare is recent, while quality assurance is still widely i...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Varrassi G,Mariangeli F,Facchetti G

    更新日期:1999-03-01 00:00:00

  • Comparison of the i-gel™ with the AuraGain™ laryngeal mask airways in patients with a simulated cervical immobilization: a randomized controlled trial.

    abstract:BACKGROUND:The use of second generation supraglottic airway devices is recommended for airway rescue in failed tracheal intubation. This study was performed to compare the clinical performance of the i-gel™ with that of the AuraGain™ in patients with simulated cervical immobilization. METHODS:We conducted a prospectiv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14237-8

    authors: Hur M,Choi S,Row HS,Kim TK

    更新日期:2020-07-01 00:00:00