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The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children

The exposure of infants and children to volatile anesthetics, such as sevoflurane, has been a topic of concern with respect to the potential risk for long term neurocognitive effects. The primary objective of this study was to determine whether the perioperative utilization of Bispectral Index (BIS)...

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Autores principales: Sullivan, Cornelius A., Egbuta, Chinyere, Park, Raymond S., Lukovits, Karina, Cavanaugh, David, Mason, Keira P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464953/
https://www.ncbi.nlm.nih.gov/pubmed/32751514
http://dx.doi.org/10.3390/jcm9082437
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author Sullivan, Cornelius A.
Egbuta, Chinyere
Park, Raymond S.
Lukovits, Karina
Cavanaugh, David
Mason, Keira P.
author_facet Sullivan, Cornelius A.
Egbuta, Chinyere
Park, Raymond S.
Lukovits, Karina
Cavanaugh, David
Mason, Keira P.
author_sort Sullivan, Cornelius A.
collection PubMed
description The exposure of infants and children to volatile anesthetics, such as sevoflurane, has been a topic of concern with respect to the potential risk for long term neurocognitive effects. The primary objective of this study was to determine whether the perioperative utilization of Bispectral Index (BIS) monitoring alters the sevoflurane delivery and exposure to children. This is a prospective randomized trial of two groups of healthy ambulatory day surgery patients (2 to 12 years). The patients in both groups had the BIS applied soon after the induction of general anesthesia, but only the anesthesiologists in the group randomized to BIS visible were able to see the BIS values. All of the patients received general anesthesia with sevoflurane. This study found no difference in the overall exposure to sevoflurane between both groups (mean end-tidal sevoflurane level of 1.8 in both groups, P = 084). The duration of time in the recovery room, the time to meet discharge criteria, the Pediatric Agitation Emergence Delirium (PAED) scores and the Face, Legs, Activity, Cry, Consolability (FLACC) scores were not statistically different between the groups. The application and utilization of intraoperative BIS monitoring does not alter the sevoflurane administration nor the discharge readiness nor the recovery profile in healthy ambulatory children.
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spelling pubmed-74649532020-09-04 The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children Sullivan, Cornelius A. Egbuta, Chinyere Park, Raymond S. Lukovits, Karina Cavanaugh, David Mason, Keira P. J Clin Med Article The exposure of infants and children to volatile anesthetics, such as sevoflurane, has been a topic of concern with respect to the potential risk for long term neurocognitive effects. The primary objective of this study was to determine whether the perioperative utilization of Bispectral Index (BIS) monitoring alters the sevoflurane delivery and exposure to children. This is a prospective randomized trial of two groups of healthy ambulatory day surgery patients (2 to 12 years). The patients in both groups had the BIS applied soon after the induction of general anesthesia, but only the anesthesiologists in the group randomized to BIS visible were able to see the BIS values. All of the patients received general anesthesia with sevoflurane. This study found no difference in the overall exposure to sevoflurane between both groups (mean end-tidal sevoflurane level of 1.8 in both groups, P = 084). The duration of time in the recovery room, the time to meet discharge criteria, the Pediatric Agitation Emergence Delirium (PAED) scores and the Face, Legs, Activity, Cry, Consolability (FLACC) scores were not statistically different between the groups. The application and utilization of intraoperative BIS monitoring does not alter the sevoflurane administration nor the discharge readiness nor the recovery profile in healthy ambulatory children. MDPI 2020-07-30 /pmc/articles/PMC7464953/ /pubmed/32751514 http://dx.doi.org/10.3390/jcm9082437 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sullivan, Cornelius A.
Egbuta, Chinyere
Park, Raymond S.
Lukovits, Karina
Cavanaugh, David
Mason, Keira P.
The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title_full The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title_fullStr The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title_full_unstemmed The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title_short The Use of Bispectral Index Monitoring Does Not Change Intraoperative Exposure to Volatile Anesthetics in Children
title_sort use of bispectral index monitoring does not change intraoperative exposure to volatile anesthetics in children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464953/
https://www.ncbi.nlm.nih.gov/pubmed/32751514
http://dx.doi.org/10.3390/jcm9082437
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