Skin conductance monitoring compared with Bispectral Index to assess emergence from total i.v. anaesthesia using propofol and remifentanil.

Abstract:

BACKGROUND:Arousal after sevoflurane anaesthesia has been detectable by monitoring changes in skin conductance (SC) with similar accuracy as monitoring Bispectral Index (BIS). As SC monitoring detects changes in sympathetic tone, the measurements might be confounded by the sympatholytic properties of propofol, a component of total i.v. anaesthesia (TIVA). Therefore in this study, monitoring of SC during emergence from TIVA was compared with the monitoring of BIS. METHODS:Twenty-five patients undergoing plastic surgery were investigated. The number of fluctuations of SC per second (NFSC), BIS and haemodynamic variables [systolic blood pressure (SBP) and heart rate (HR)] were recorded simultaneously. The performance of the monitoring devices in distinguishing between the clinical states 'steady-state anaesthesia', 'first clinical reaction' and 'extubation' were compared using the method of prediction probability (Pk) calculation. RESULTS:BIS((R)) showed the best performance in distinguishing between 'steady-state anaesthesia' and 'first reaction' (Pk BIS 0.99 vs NFSC 0.80; P<0.01), and 'steady-state anaesthesia' and 'extubation' (Pk BIS) 1.00 vs NFSC 0.91; P<0.05); the time from first change of BIS or NFSC to a first clinical reaction was significantly longer for NFSC (median BIS 135 s vs NFSC 191 s; P<0.05). BIS and NFSC performed better in distinguishing between the investigated clinical states than SBP and HR. CONCLUSIONS:In this study, BIS was found to predict arousal with a higher probability but slower response times than NFSC in patients waking after TIVA.

journal_name

Br J Anaesth

authors

Ledowski T,Bromilow J,Paech MJ,Storm H,Hacking R,Schug SA

doi

10.1093/bja/ael278

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

817-21

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)35330-8

journal_volume

97

pub_type

杂志文章
  • Enjoying work or burdened by it? How anaesthetists experience and handle difficulties at work: a qualitative study.

    abstract:BACKGROUND:The aim of this study was to explore difficulties at work from anaesthetists' own perspective and to examine how anaesthetists handle and cope with situations that are perceived as difficult and potentially stressful. METHODS:Two sets of interviews were conducted with 19 specialist anaesthetists in Sweden. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1093/bja/aem233

    authors: Larsson J,Rosenqvist U,Holmström I

    更新日期:2007-10-01 00:00:00

  • Aprotinin, transfusions, and kidney injury in neonates and infants undergoing cardiac surgery.

    abstract:BACKGROUND:A significantly increased risk of acute kidney injury (AKI) with the prophylactic use of aprotinin has been reported in adults undergoing cardiac surgery, but not in children. Blood product transfusions have also been shown to carry an independent risk of AKI. The present study assessed associations between ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes002

    authors: Bojan M,Vicca S,Boulat C,Gioanni S,Pouard P

    更新日期:2012-05-01 00:00:00

  • Right upper lobectomy in a patient with an iatrogenic tracheo-oesophageal fistula after laryngectomy.

    abstract::A patient with a tracheostomy and an iatrogenic tracheo-oesophageal fistula presented for diagnostic bronchoscopy and right upper lobectomy. The anaesthetic management is discussed with reference to the options available and, in particular, the use of a Brompton Pallister single lumen endobronchial tube. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/74.4.461

    authors: Buchanan CC,Vaughan RS,Verdi I

    更新日期:1995-04-01 00:00:00

  • Evaluation of the physiological properties of ventilatory ratio in a computational cardiopulmonary model and its clinical application in an acute respiratory distress syndrome population.

    abstract:BACKGROUND:Owing to complexities of measuring dead space, ventilatory failure is difficult to quantify in critical care. A simple, novel index called ventilatory ratio (VR) can quantify ventilatory efficiency at the bedside. The study objectives were to evaluate physiological properties of VR and examine its clinical a...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aet283

    authors: Sinha P,Singh S,Hardman JG,Bersten AD,Soni N,Australia and New Zealand Intensive Care Society Clinical Trials Group.

    更新日期:2014-01-01 00:00:00

  • Comparison of nitroglycerine, verapamil and nifedipine in the management of arterial pressure during coronary artery surgery.

    abstract::The efficacy of nitroglycerine, verapamil and nifedipine in controlling post-sternotomy hypertension was compared in four groups of 20 patients anaesthetized with fentanyl 100 micrograms kg-1 undergoing elective coronary artery surgery. Vasodilators were started before surgery and adjusted to maintain systolic arteria...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/58.3.267

    authors: van Wezel HB,Bovill JG,Schuller J,Gielen J,Hoeneveld MH

    更新日期:1986-03-01 00:00:00

  • Chronic pain epidemiology and its clinical relevance.

    abstract::Chronic pain affects ∼20% of the European population and is commoner in women, older people, and with relative deprivation. Its management in the community remains generally unsatisfactory, partly because of lack of evidence for effective interventions. Epidemiological study of chronic pain, through an understanding o...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aet123

    authors: van Hecke O,Torrance N,Smith BH

    更新日期:2013-07-01 00:00:00

  • Propofol-based anaesthesia versus sevoflurane-based anaesthesia for living donor kidney transplantation: results of the VAPOR-1 randomized controlled trial.

    abstract:Background:Kidney transplantation is associated with harmful processes affecting the viability of the graft. One of these processes is associated with the phenomenon of ischaemia-reperfusion injury. Anaesthetic conditioning is a widely described strategy to attenuate ischaemia-reperfusion injury. We therefore conducted...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aex057

    authors: Nieuwenhuijs-Moeke GJ,Nieuwenhuijs VB,Seelen MAJ,Berger SP,van den Heuvel MC,Burgerhof JGM,Ottens PJ,Ploeg RJ,Leuvenink HGD,Struys MMRF

    更新日期:2017-05-01 00:00:00

  • Evaluation of flexible (part-time) training in anaesthesia.

    abstract::One hundred and six former or current flexible trainees in anaesthesia responded to a questionnaire evaluating their part-time training (a response rate of 71%). They were compared with a group of 32 flexible trainees in obstetrics and gynaecology. Anaesthetists were more satisfied than obstetricians and gynaecologist...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/81.2.268

    authors: Scriven PM

    更新日期:1998-08-01 00:00:00

  • The staircase phenomenon at the corrugator supercilii muscle in comparison with the hand muscles.

    abstract:BACKGROUND:Phonomyography (PMG) is a novel method to monitor neuromuscular block. It is non-invasive and can be applied to any muscle. It can be used interchangeably with mechanomyography (MMG). The staircase phenomenon has not been investigated for this method or at the corrugator supercilii muscle. The purpose of thi...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei183

    authors: Deschamps S,Trager G,Mathieu PA,Hemmerling TM

    更新日期:2005-09-01 00:00:00

  • Different effects of dopamine and dopexamine on the isolated perfused rat kidney.

    abstract::We have investigated the effect of dopamine and dopexamine on the isolated perfused rat kidney. After an equilibration period of 20 min and two control periods of 10 min, dopexamine 1.0, 2.5 or 4.0 micrograms kg-1 min-1 or dopamine 2.0 micrograms kg-1 min-1 were perfused for a further 40 min in random order. Renal blo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/83.6.898

    authors: Kirchhoff K,Leuwer M,Thum P,Bornscheuer A,Piepenbrock S

    更新日期:1999-12-01 00:00:00

  • Interleukin-6 is both necessary and sufficient to produce perioperative neurocognitive disorder in mice.

    abstract:BACKGROUND:Perioperative neurocognitive disorders (PND) result in long-term morbidity and mortality with no effective interventions available. Because interleukin-6 (IL-6), a pro-inflammatory cytokine, is consistently up-regulated by trauma, including after surgery, we determined whether IL-6 is a putative therapeutic ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2017.11.096

    authors: Hu J,Feng X,Valdearcos M,Lutrin D,Uchida Y,Koliwad SK,Maze M

    更新日期:2018-03-01 00:00:00

  • Effect of diluting propofol on the incidence of pain on injection and venous sequelae.

    abstract::The effect of diluting propofol in 5% dextrose on the incidence of i.v. injection pain was studied in 100 adult patients. Severe injection pain occurred in 32% (16 patients) who received undiluted propofol, compared with 10% (five patients) who received dilute propofol. We concluded that the dilution of propofol signi...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/62.2.202

    authors: Stokes DN,Robson N,Hutton P

    更新日期:1989-02-01 00:00:00

  • Effects of minor surgery and endotracheal intubation on postoperative breathing patterns in patients anaesthetized with isoflurane or sevoflurane.

    abstract::We studied the effects of minor surgery and endotracheal intubation on postoperative breathing patterns. We measured breathing patterns and laryngeal resistance during the periods immediately before intubation (preoperative) and immediately after extubation following minor surgery (postoperative) in eight patients ana...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/87.5.706

    authors: Tanaka A,Isono S,Sato J,Nishino T

    更新日期:2001-11-01 00:00:00

  • Frailty assessment: from clinical to radiological tools.

    abstract::Frailty is a syndrome of cumulative decline across multiple physiological systems, which predisposes vulnerable adults to adverse events. Assessing vulnerable patients can potentially lead to interventions that improve surgical outcomes. Anaesthesiologists who care for older patients can identify frailty to improve pr...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.bja.2019.03.034

    authors: Bentov I,Kaplan SJ,Pham TN,Reed MJ

    更新日期:2019-07-01 00:00:00

  • Prospective study of device-related complications in intensive care unit detected by virtual autopsy.

    abstract:BACKGROUND:There has been increasing use of invasive techniques, such as extracorporeal organ support, in intensive care units (ICU), and declining autopsy rates. Thus, new measures are needed to maintain high-quality standards. We investigated the potential of computed tomography (CT)-based virtual autopsy to substitu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.02.031

    authors: Wichmann D,Heinemann A,Zähler S,Vogel H,Höpker W,Püschel K,Kluge S

    更新日期:2018-06-01 00:00:00

  • Implicit memory formation in sedated ICU patients after cardiac surgery.

    abstract:BACKGROUND:Recent research into memory formation under sedation has generated conflicting results. We investigated explicit and implicit memory in ICU patients during moderate to deep propofol sedation following cardiac surgery. METHODS:Two different methods of memory testing were used; (1). free-association (F-A) wor...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeg274

    authors: Clark J,Voss L,Barnard J,Sleigh J

    更新日期:2003-12-01 00:00:00

  • Studies of the neuromuscular blocking effects of BW 403C65 in frog and cat muscle.

    abstract::BW 403C65, an isoquinolinium bisquaternary compound, was investigated for its neuromuscular blocking properties. In vitro in from preparations, low concentrations induced an increase in miniature endplate potentials (m.e.p.p.) frequency without altering their amplitude. With increasing concentrations m.e.p.p. frequenc...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/47.9.929

    authors: Post EL,Sokoll MD,Gergis SD,Dretchen KL,Cronnelly R

    更新日期:1975-09-01 00:00:00

  • The pneuPAC hyperbaric variant HB: a ventilator suitable for use within a one-man hyperbaric chamber.

    abstract::We describe the performance of the pneuPAC hyperbaric variant HB, a ventilator designed for use in a one-man hyperbaric chamber. The ventilator delivered minute volumes of 11-23 litre at 1 atm abs to 7.6-16 litre at 2.5 atm abs. The delivered minute volume may be controlled easily from outside the chamber by manipulat...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/67.4.488

    authors: Spittal MJ,Hunter SJ,Jones L

    更新日期:1991-10-01 00:00:00

  • Prospective validation of a new airway management algorithm and predictive features of intubation difficulty.

    abstract:BACKGROUND:Some patients have features that indicate possible difficulty with direct laryngoscopy for tracheal intubation. Prediction of the likely outcome and selection of patients for an enhanced management algorithm would reduce the possible harm from failed intubation attempts. METHODS:Adult elective patients were...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2018.09.021

    authors: Cook F,Lobo D,Martin M,Imbert N,Grati H,Daami N,Cherait C,Saïdi NE,Abbay K,Jaubert J,Younsi K,Bensaid S,Ait-Mamar B,Slavov V,Mounier R,Goater P,Bloc S,Catineau J,Abdelhafidh K,Haouache H,Dhonneur G

    更新日期:2019-02-01 00:00:00

  • Naloxone improves functional recovery of myocardial stunning in conscious dogs through its action on the central nervous system.

    abstract::This study tests the hypothesis that naloxone, but not its quarternary salt, naloxone methiodide (which does not enter the central nervous system), improves recovery from myocardial stunning in conscious dogs. Twenty dogs were chronically instrumented for measurement of heart rate, left atrial, aortic and left ventric...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/86.4.545

    authors: Weber TP,Stypmann J,Meissner A,Hartlage MG,Van Aken H,Rolf N

    更新日期:2001-04-01 00:00:00

  • The intubating laryngeal mask airway compared with direct laryngoscopy.

    abstract::We have compared the ability of naïve intubators to intubate the trachea using a laryngoscope and an intubating laryngeal mask airway (ILMA) after receiving basic training, in a randomized, prospective, crossover study in 60 patients. Ventilation of the lungs via the ILMA was also compared with ventilation with a face...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/83.4.615

    authors: Avidan MS,Harvey A,Chitkara N,Ponte J

    更新日期:1999-10-01 00:00:00

  • Malignant hyperthermia in Belgian Landrace pigs rested or exercised before exposure to halothane.

    abstract::Thirteen of 31 Belgian Landrace pigs developed malignant hyperthermia (MH) after breathing halothane. A short period of exercise 1 h before the administration of the triggering agent increased the incidence of the syndrome to 100% in eight similar pigs. Clinical symptoms were more marked and developed more rapidly in ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.9.821

    authors: van den Hende C,Lister D,Muylle E,Ooms L,Oyaert W

    更新日期:1976-09-01 00:00:00

  • Preservation of the pulmonary vasoconstrictor response to alveolar hypoxia during the administration of halothane to dogs.

    abstract::The action of halothane on the pulmonary vasoconstrictor response to unilateral alveolar hypoxia was studied in two groups of dogs. In the first group the redistribution of blood flow between the two lungs was studied with a radioactive isotope method, which provided intermittent measurements, whilst in the second gro...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/50.12.1185

    authors: Sykes MK,Gibbs JM,Loh L,Marin JB,Obdrzalek J,Arnot RN

    更新日期:1978-12-01 00:00:00

  • Determinants of outcome in critically ill octogenarians after surgery: an observational study.

    abstract:BACKGROUND:The population in the UK is growing older and the number of elderly patients cared for on intensive care units (ICU) is increasing. This study was designed to identify risk factors for mortality in critically ill patients of >80 yr of age after surgery. METHODS:We identified 275 patients, aged 80 yr or grea...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aem307

    authors: Ford PN,Thomas I,Cook TM,Whitley E,Peden CJ

    更新日期:2007-12-01 00:00:00

  • Clinical prospective study of biochemical markers and evoked potentials for identifying adverse neurological outcome after thoracic and thoracoabdominal aortic aneurysm surgery.

    abstract:BACKGROUND:Neurological deficit after repair of a thoracic or thoracoabdominal aortic aneurysm (TAA/TAAA) remains a devastating complication. The aim of our study was to investigate the clinical value of biochemical markers [S-100B, neurone-specific enolase (NSE) and lactate dehydrogenase (LD)], evoked potentials and t...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei239

    authors: Lases EC,Schepens MA,Haas FJ,Aarts LP,ter Beek HT,van Dongen EP,Siegers HP,van der Tweel I,Boezeman EH

    更新日期:2005-11-01 00:00:00

  • A possible means of rapid cooling in the emergency treatment of malignant hyperpyrexia.

    abstract::A possible means of rapid cooling in the emergency treatment of malignant hyperpyrexia, peritoneal dialysis using a cold dialysate, is described. Experimental observations in a young man on a regular peritoneal dialysis regime showed that significant heat extraction can be obtained when either a cool (20 degrees C) or...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/48.5.469

    authors: Gjessing J,Barsa J,Tomlin PJ

    更新日期:1976-05-01 00:00:00

  • Activated thrombelastogram in neonates and infants with complex congenital heart disease in comparison with healthy children.

    abstract:BACKGROUND:The goal of the study was to determine activated thrombelastographic (TEG(R)) parameters with the rotational TEG(R) (ROTEG or ROTEM) device (Pentapharm GmbH, Munich, Germany) in neonates and infants <1 yr with complex congenital heart disease (CCHD) and to compare them with those of healthy children. METHOD...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/ael206

    authors: Haizinger B,Gombotz H,Rehak P,Geiselseder G,Mair R

    更新日期:2006-10-01 00:00:00

  • Effect of heating on the osmotic fragility of stored blood.

    abstract::The effect of incubation at 37 degrees C, 46 degrees C, 47 degrees C and 48 degrees C for 1 h on the osmotic fragility of blood was determined. Blood taken from volunteers into ACD and CPD was examined after 1, 7, 14 and 21 days of storage. In addition, 22-day-old blood stored in CPD was examined. The osmotic fragilit...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/50.8.815

    authors: Van der Walt JH,Russell WJ

    更新日期:1978-08-01 00:00:00

  • Comparison of sedation with temazepam by mouth and diazemuls i.v. for dental surgery. Variability in absorption may influence clinical effect.

    abstract::Temazepam elixir 30 mg by mouth was compared with i.v. Diazemuls titrated to a maximum dose of 20 mg in a double-blind study of 50 patients undergoing elective minor oral surgery. The treatments produced a similar reduction in anxiety score and similar degrees of patient relaxation and co-operation. The diazepam group...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/60.1.18

    authors: Hosie HE,Brook IM,Nimmo WS

    更新日期:1988-01-01 00:00:00

  • Animal studies of the anaesthetic activity of ICI 35 868.

    abstract::The activity of a new i.v. anesthetic agent ICI 35 868, a compound unrelated to currently used barbiturate, eugenol or steroid agents, has been examined in a range of animal species. Some of the properties of ICI 35 868 resemble those of thiopentone in that it is a rapidly acting agent which produces anaesthesia of sh...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.8.731

    authors: Glen JB

    更新日期:1980-08-01 00:00:00