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Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia

The performance of recently introduced Surgical Stress Index (SSI), based on heart rate and photoplethysmography, was estimated during sevoflurane-fentanyl and isoflurane-fentanyl anesthesia during surgical procedures. Forty ASA I–III patients were enrolled. Anesthesia was induced with fentanyl 2 μg...

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Autores principales: Mustola, S., Parkkari, T., Uutela, K., Huiku, M., Kymäläinen, M., Toivonen, J.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911596/
https://www.ncbi.nlm.nih.gov/pubmed/20700429
http://dx.doi.org/10.1155/2010/810721
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author Mustola, S.
Parkkari, T.
Uutela, K.
Huiku, M.
Kymäläinen, M.
Toivonen, J.
author_facet Mustola, S.
Parkkari, T.
Uutela, K.
Huiku, M.
Kymäläinen, M.
Toivonen, J.
author_sort Mustola, S.
collection PubMed
description The performance of recently introduced Surgical Stress Index (SSI), based on heart rate and photoplethysmography, was estimated during sevoflurane-fentanyl and isoflurane-fentanyl anesthesia during surgical procedures. Forty ASA I–III patients were enrolled. Anesthesia was induced with fentanyl 2 μg kg(−1) and thiopentone 3–5 mg kg(−1). Tracheal intubation was performed 5 minutes after fentanyl bolus. Patients were randomly allocated to receive sevoflurane (n = 20) or isoflurane (n = 20) in 30% oxygen/air. State entropy was kept at 40–60, target being 50. During surgery, fentanyl boluses 1.5 μg kg(−1) were given at 30–40-minute intervals. SSI increased significantly after intubation. During surgery, the decrease of SSI after fentanyl boluses was similar in sevoflurane and isoflurane groups but SSI values were higher in sevoflurane than in isoflurane group. Tracheal intubation, skin incision, and surgical stimuli increased SSI from baseline, indicating that nociceptive stimuli increase SSI. Fentanyl boluses during surgery decreased SSI, indicating that increasing analgesia decreases SSI.
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spelling pubmed-29115962010-08-10 Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia Mustola, S. Parkkari, T. Uutela, K. Huiku, M. Kymäläinen, M. Toivonen, J. Anesthesiol Res Pract Clinical Study The performance of recently introduced Surgical Stress Index (SSI), based on heart rate and photoplethysmography, was estimated during sevoflurane-fentanyl and isoflurane-fentanyl anesthesia during surgical procedures. Forty ASA I–III patients were enrolled. Anesthesia was induced with fentanyl 2 μg kg(−1) and thiopentone 3–5 mg kg(−1). Tracheal intubation was performed 5 minutes after fentanyl bolus. Patients were randomly allocated to receive sevoflurane (n = 20) or isoflurane (n = 20) in 30% oxygen/air. State entropy was kept at 40–60, target being 50. During surgery, fentanyl boluses 1.5 μg kg(−1) were given at 30–40-minute intervals. SSI increased significantly after intubation. During surgery, the decrease of SSI after fentanyl boluses was similar in sevoflurane and isoflurane groups but SSI values were higher in sevoflurane than in isoflurane group. Tracheal intubation, skin incision, and surgical stimuli increased SSI from baseline, indicating that nociceptive stimuli increase SSI. Fentanyl boluses during surgery decreased SSI, indicating that increasing analgesia decreases SSI. Hindawi Publishing Corporation 2010 2010-04-06 /pmc/articles/PMC2911596/ /pubmed/20700429 http://dx.doi.org/10.1155/2010/810721 Text en Copyright © 2010 S. Mustola et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Mustola, S.
Parkkari, T.
Uutela, K.
Huiku, M.
Kymäläinen, M.
Toivonen, J.
Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title_full Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title_fullStr Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title_full_unstemmed Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title_short Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia
title_sort performance of surgical stress index during sevoflurane-fentanyl and isoflurane-fentanyl anesthesia
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911596/
https://www.ncbi.nlm.nih.gov/pubmed/20700429
http://dx.doi.org/10.1155/2010/810721
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