Bispectral index monitoring: Optimizing anesthesia in rigid bronchoscopy Rijit bronkoskopi anestezisini iyileştirmede bispektral indeks monitorü
Tuberkuloz ve Toraks, cilt.72, sa.3, ss.191-196, 2024 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 72 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.5578/tt.202403938
- Dergi Adı: Tuberkuloz ve Toraks
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.191-196
- Anahtar Kelimeler: Rigid bronchoscopy, outpatient anesthesia, bispectral index monitoring, interventional pulmonology
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: This study investigates the application of bispectral index (BIS) monitoring in rigid bronchoscopy to enhance anesthetic delivery and patient outcomes, a topic that remains underexplored. Materials and Methods: A retrospective analysis of 155 patients undergoing elective rigid bronchoscopy under general anesthesia was conducted. Patients were divided into BIS-monitored and conventional anesthesia groups. Inclusion criteria were adults aged over 18 years with American Society of Anesthesiologists (ASA) physical status I-IV. Results: No significant demographic differences were found between the groups. The BIS group showed significant reductions in propofol usage (231.40 ± 74.63 mg vs. 190.19 ± 91.83 mg, p= 0.003) and prednol dosage (94.27 ± 42.56 mg vs. 79.71 ± 18.97 mg, p= 0.020). Remifentanil administration approached statistical significance (56.99 ± 34.69 mcg vs. 45.36 ± 36.75 mcg, p= 0.055). Conclusion: BIS monitoring effectively reduces anesthetic dosage in rigid bron-choscopy, representing a significant advancement in anesthetic management.