Studying the effects of BIS Monitoring (Depth of Anesthesia) in early Extubation of Patients Candidated for Non-Emergency CABG
Alireza Kamali1, Alireza Rostami2, Hesamoddin Modir1 and Maryam Shokrpour31Department of Anesthesiology, Arak University of Medical Sciences, Arak, Iran.
2Department of Cardiac Surgery, Arak University of Medical Sciences, Arak, Iran.
3Department of Gynecology, Arak University of Medical Sciences, Arak, Iran.
Corresponding Author E-mail: Alirezaros@yahoo.com
Abstract: Early extubated of open heart surgery patients (T <8hr) benefits for the patient so that led to reduced hospital stay, reduced need for nursing care, reduced length of stay in the ICU and reduce the risk of ventilator-associated pneumonia is. Therefore the effect of BIS monitoring on the patients after open heart surgery are extubated early. This study is a randomized, double blind, randomized clinical trial on patients undergoing elective CABG were done in hospitals Amir. A total of 120 patients were randomized into two groups and monitoring (B) BIS and monitoring (N) BIS groups. The duration of extubated patients after open heart ICU admission were compared between the 2 groups. The mean BIS Monitor blood pressure before induction of anesthesia before surgery, 2.5 - / + 115 and without Monitor 3.6 - / + 121, respectively. The heart rate monitors in group BIS 5/4 - / + 72 and without Monitor 6.4 - / + 70. The mean extubation time in hours at the monitor BIS 6/3 - / + 4/5 hours at no monitor BIS 3/4 - / + 2/6 hours. Given that no significant difference was seen between the two groups P ≤ 0/05. The use of monitoring BIS (Depth of Anesthesia) during CABG surgery resulted in a reduction of patients extubated in the ICU, open heart, reducing the pain score at 12 and 24 hours after the operation.
Keywords: Early Extubation; CABG Patient; BIS Monitoring Back to TOC