A prospective study of bispectral index scoring in mentally retarded patients receiving general anesthesia
| Autor: | Rex N. Ponnudurai, Manasee Sant, Andrea Clarke-Moore, Evan Spivack, Catherine Schoenberg, Krissy Choi, Justin Stone, Ifeyinwa Ekulide, Ellise Delphin |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Methyl Ethers medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Oral Surgical Procedures Anesthesia General Severity of Illness Index Sevoflurane Hospitals University Young Adult Consciousness Monitors Intellectual Disability Severity of illness Intubation Intratracheal medicine Humans Intubation Prospective Studies Child Prospective cohort study business.industry Tracheal intubation Middle Aged Surgery Anesthesiology and Pain Medicine Anesthesia Bispectral index Anesthesia Recovery Period Anesthetics Inhalation Anesthetic Female business medicine.drug |
| Zdroj: | Journal of Clinical Anesthesia. 22:432-436 |
| ISSN: | 0952-8180 |
| DOI: | 10.1016/j.jclinane.2009.11.003 |
| Popis: | Study Objective To determine whether degree of mental retardation (MR) affects bispectral index scale (BIS) scores during general anesthesia. Design Prospective clinical study. Setting University Hospital. Patients 80 ASA physical status I, II and III patients with varying degrees of MR, undergoing dental rehabilitation. Interventions Patients were grouped into mild, moderate, severe or profound degrees of MR, by an independent registered research nurse according to criteria by the American Psychiatric Association. Measurements All patients were given a standard sevoflurane in oxygen anesthetic with ASA standard monitoring. A research assistant who was blinded to study group assignment recorded the BIS scores continuously on a computer and compared the scores at the following time points: awake, induction of anesthesia, intravenous catheter placement, tracheal intubation, start of surgery, end of surgery, awakening to commands, and tracheal extubation. Main Results No significant differences in BIS scores existed among the study groups at any time point. No significant difference in slope of induction of anesthesia was noted among the study groups. However, the slope of emergence from anesthesia leading to tracheal extubation showed a significantly longer emergence time in the higher MR groups. Conclusion MR does not affect BIS values during general anesthesia. |
| Databáze: | OpenAIRE |
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