maintenance of anesthesia
Procedureintraoperative maintenance of anesthesia with propofol under control of cerebral state index at 40-60 points
Other names: Controlled anesthesia depth
NCT Number: NCT01524354
The aim of our study was to evaluate the significance of monitoring anesthetic depth for the conduct of anesthesia and the early postoperative period in patients subjected to surgical correction of combined valvular disorders.
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Notify Me18 year–80 year
All sexes
Interventional
Not applicable
Our aim was to evaluate the effect of monitoring anesthetic depth on duration of postoperative mechanical ventilation and ICU stay after surgical correction of combined valvular disorders.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
intraoperative maintenance of anesthesia with propofol under control of cerebral state index at 40-60 points
Other names: Controlled anesthesia depth
Time frame: 24 hours postoperatively
Criteria for termination of postoperative respiratory support were the following: patient able to cooperate; adequate muscular tone; SpO2 > 95% with FiO2 0.5; PaCO2 < 45 mm Hg; postoperative bleeding rate < 50 mL hr-1; stable hemodynamics without inotropic/vasopressor support; body temperature of > 35 °C. Temporary pacing was not regarded as a contraindication for tracheal extubation.
Time frame: 7 days postoperatively
The time until 'fit for ICU discharge' criteria as well as the actual length of the ICU stay were registered. The 'fit for ICU discharge' criteria included the following: fully oriented patient, SaO2 > 90% on room air, no episodes of severe arrhythmias, bleeding < 50 mL hr-1, diuresis > 0.5 mL kg-1 hr-1, no need for inotropic/vasopressor support and no signs of ischemia on ECG.
Northern State Medical University
Other
Monitoring of Anesthetic Depth During Surgical Correction of Acquired Valvular Disorders
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