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Minerva Anestesiologica 2018 February;84(2):216-28

DOI: 10.23736/S0375-9393.17.12033-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bispectral Index and non-Bispectral Index anesthetic protocols on postoperative recovery outcomes

Min-Hsien CHIANG 1 , Shao-Chun WU 1, Shih-Wei HSU 2, Jo-Chi CHIN 1, 3

1 Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan; 2 Department of Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan; 3 Chia-Nan University of Pharmacy and Science, Tainan, Taiwan


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INTRODUCTION: The study aimed to compare Bispectral Index (BIS) and non-BIS anesthetic protocols on postoperative recovery outcomes.
EVIDENCE ACQUISITION: Medline, PubMed, Cochrane, EMBASE, and Google Scholar databases were searched until January 21, 2016.
EVIDENCE SYNTHESIS: Twenty-six studies were included with a total of 9537 patients. BIS monitoring was significantly associated with shorter time to eye opening (P=0.001), time to extubation (P<0.001), and time to orientation (P=0.002) compared with non-BIS monitoring. No difference between groups was seen with respect to hypoxemia, postoperative nausea and vomiting (PONV), time to oral fluid intake, and length of Postanesthesia Care Unit (PACU) stay (P values ≥0.185).
CONCLUSIONS: The use of BIS-monitoring is superior to non-BIS monitored anesthesia in terms of shorter time to eye-opening, extubation, and orientation. BIS monitor may be considered a safe and effective method for monitoring depth of anesthesia during surgery.


KEY WORDS: Anesthesia - Airway extubation - Consciousness monitors - Postoperative period

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