Monitoring of sedation during neuroaxial blockade
| Autor: | Matute Emilio, Del Blanco Brezo, Guerrero OrriachJose Luis, Gilsanz Fernando, Alsina Estibaliz |
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| Přispěvatelé: | [Guerrero Orriach, JL] Department of Anesthesiology, Hospital Universitario Virgen de la Victoria, Malaga, Spain. Postgraduate Research, Facultad de Medicina, Universidad Autónoma de Madrid, Spain. [Matute, E] Department of Anesthesiology, Hospital Sanitas La Moraleja, Madrid, Spain. [Alsina, E, Gilsanz, F] Department of Anesthesiology, Hospital La Paz, Madrid, Spain. [Blanco, F del] Department of Anesthesiology, Hospital Infanta Leonor, Madrid, Spain. [Gilsanz, F] Department of Surgery, Facultad de Medicina, Universidad Autónoma de Madrid, Spain. |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Supine position Sedation Entropy Anestesia Epidural Hemodynamics Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] medicine Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy::Hypnosis [Medical Subject Headings] Prospective cohort study Volunteer Hipnosis business.industry Analytical Diagnostic and Therapeutic Techniques and Equipment::Anesthesia and Analgesia::Conscious Sedation [Medical Subject Headings] BIS Analytical Diagnostic and Therapeutic Techniques and Equipment::Anesthesia and Analgesia::Anesthesia::Anesthesia Conduction::Anesthesia Epidural [Medical Subject Headings] Phenomena and Processes::Physical Phenomena::Thermodynamics::Entropy [Medical Subject Headings] Surgery Blockade Neuroaxial Anesthesiology and Pain Medicine Anesthesia Orthopedic surgery Premedication Entropía Sedación Consciente medicine.symptom business Hypnosis |
| Popis: | Errores del documento original. Autores: Guerrero OrriachJose Luis. Afiliación: PostgraduateResearch, Universidad Autónoma de Madrid, Facultad de Medicina, Spain. HospitalInfanta Leonor, Madrid, Spain. Citation: Luis GO, Emilio M, Estibaliz A, Brezo DB, Fernando G (2013) Monitoring of Sedation during Neuroaxial Blockade. J Anesthe Clinic Res 4: 324. Abstract Study objective: The arousal state changes during spinal anesthesia. It is not clear if BIS and others devices could monitor the induced neuroaxial blockade sedation. Our objective was evaluate BIS and entropy values when spinal anesthesia is done. Design: We developed a prospective study. Patients: 40 patients were included in this study, ASA I-III, over 60 years old, undergoing spinal anesthesia, without premedication scheduled for orthopedics procedures. Intervention: Spinal anesthesia was performed with the unseated volunteer in the lateral decubitus position with a 25-gauge Whitacre needle at L2-L3 space, andanesthesia was done with 12 mg of 0.5% hyperbaric bupivacaine. Patients were positioned supine for 5 min after spinal anesthesia. Measurements: Observer’s Assessment of Alertness/Sedation OAA/S, response (RE) and state entropy (SE) and BIS, and standard hemodynamic measures. Main results: Statistical analysis were performed by Wilcoxon test or ANOVA, p0.05). Conclusions: The spinal anesthesia decreased the cortical activity and these were founded by OAA/S scale and depth anesthetics monitors. OAA/S was a more sensitive value of this induced sedation. BIS and RE showed a better correlation with OAA/S scale than SE. Yes |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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