Closed-loop control of consciousness during lung transplantation: an observational study.
J Cardiothorac Vasc Anesth
; 22(4): 611-5, 2008 Aug.
Article
en En
| MEDLINE
| ID: mdl-18662642
ABSTRACT
OBJECTIVE:
To determine if propofol infusion can be steered automatically by using bispectral index (BIS) as a controller during lung transplantation.DESIGN:
A prospective study of patients undergoing lung transplantation.SETTING:
University hospital.PARTICIPANTS:
Twenty consecutive patients scheduled for bilateral (n = 14) or single (n = 6) lung transplantation.INTERVENTIONS:
The goal of the closed-loop administration of propofol was to maintain the BIS value between 40 and 60 during the maintenance phase. The remifentanil infusion was adjusted according to standard clinical practice. MEASUREMENTS AND MAINRESULTS:
The closed-loop system was able to provide anesthesia maintenance for all patients. Cardiopulmonary bypass was used in 5 patients, and 14 patients received a thoracic epidural catheter. The BIS value was maintained between 40 and 60 during 84% +/- 16% of the maintenance phase. Eleven patients were extubated in the operating room, and 1 patient needed reintubation.CONCLUSION:
Closed-loop control of consciousness by a computer during lung transplantation is clinically feasible.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Anestesia por Circuito Cerrado
/
Trasplante de Pulmón
/
Estado de Conciencia
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiothorac Vasc Anesth
Asunto de la revista:
ANESTESIOLOGIA
/
CARDIOLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Francia