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Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery

Overview of attention for article published in Brazilian journal of cardiovascular surgery, April 2016
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Title
Bispectral Index Monitoring in Patients Undergoing Open Heart Surgery
Published in
Brazilian journal of cardiovascular surgery, April 2016
DOI 10.5935/1678-9741.20160038
Pubmed ID
Authors

Kabukcu, Hanife Karakaya, Sahin, Nursel, Ozkaloglu, Kezban, Golbasi, Ilhan, Titiz, Tulin Aydogdu

Abstract

To obtain the optimal anesthesia depth is not easy in cardiovascular surgery patients where the haemodynamic reserve is limited, due to reasons such as not being able to give the desired dose of anesthetic agent, or the change in the pharmacokinetics of the agent in the heart-lung machine. This study was planned to assess the contribution of bispectral index (BIS) monitoring in the depth of anesthesia. The patients were divided into 2 groups, and BIS monitoring was used for each patient. Group 1 (G1 n=35): keeping the BIS monitor screen open, the anesthesia need was set. Group 2 (G2 n=35): BIS monitor was tied to the patient and the monitor screen was closed in such a way that the anaesthesist couldn't see the BIS value. When the recording time came, the data on the monitor was recorded. The need for the anesthetic agent was set according to the parameters such as haemodynamics or follow up of pupils, instead of BIS value, by titrating the anesthetic infusion doses. BIS values were similar in both groups before the induction, BIS values in both groups showed a decrease, showing no significant statistical difference (P>0.05). One patient in each group said that he dreamt, and one patient in G2 said that he had heard a noise and felt that he was taken from one place to another. The management should be done with clinical evaluation, haemodynamics and other monitorization methods and BIS monitoring findings together.

Mendeley readers

The data shown below were compiled from readership statistics for 16 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 16 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 3 19%
Student > Doctoral Student 2 13%
Student > Bachelor 2 13%
Student > Master 2 13%
Researcher 2 13%
Other 2 13%
Unknown 3 19%
Readers by discipline Count As %
Medicine and Dentistry 5 31%
Nursing and Health Professions 3 19%
Biochemistry, Genetics and Molecular Biology 2 13%
Agricultural and Biological Sciences 1 6%
Chemistry 1 6%
Other 1 6%
Unknown 3 19%