K. Hajiyeva, B. Meço, Ç. Y. Güçlü, D. Yorukoglu, B. Doganay, M. Oral
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引用次数: 1
摘要
研究背景和目的:术中意识是全身麻醉的一种严重但可预防的并发症。双谱指数(BIS)是目前应用最广泛的麻醉深度监测方法。BIS监测需要附加前额传感器,当手术野涉及前额时,这是一个挑战。我们的目的是比较BIS传感器的金标准前额位置与神经外科手术中横跨鼻背的替代位置。材料和方法:经伦理委员会批准并获得知情同意后,62例患者入组本前瞻性观察性研究。比较所有患者的额部和鼻腔BIS值。结果与讨论:额部与鼻部传感器的平均BIS值分别为49±22和49±21 (n: 62)。这些值具有统计学相关性(ICC 0.78, p < 0.001),表明在需要时,鼻腔BIS测量并不存在常规使用的劣势。结论:我们的数据显示,在测量麻醉深度时,BIS传感器放置在鼻背与标准额部测量相比具有相当的效率
Comparison of Nasal and Frontal BIS Monitoring in Neurosurgery: Does the Site of Sensor Placement Affect the BIS Values?
Background and Goal of Study: Intraoperative awareness is a serious but preventable complication of general anaesthesia. Bispectral index (BIS) is the most widely used method monitoring anaesthesia depth. BIS monitoring requires attachment of forehead sensors, which poses a challenge when the surgical field involves the forehead. We aimed to compare the gold standard forehead position of BIS sensors with an alternative position across the nasal dorsum for neurosurgical procedures. Materials and Methods: After ethical committee approval and informed consent were obtained, 62 patients were enrolled in this prospective observational study. Frontal and nasal BIS values were compared in all patients. Results and Discussion: The mean BIS value from frontal versus nasal sensors was 49 ± 22 and 49 ± 21 respectively (n: 62). These values were statistically correlated (ICC 0.78, p < 0.001) indicating that nasal BIS measurement does not present a disadvantage for routine use when needed. Conclusion: Our data reveal that for measuring anesthesia depth, BIS sensor placement on the nasal dorsum shows comparable efficiency in comparison to standard frontal measurements