中国医科大学学报Issue(7)：614-617,4.
儿童全凭静脉麻醉在脑电双频指数指导下气管拔管的临床观察
Clinical Observation of Bispectral Index in Evaluation of the Indications of Extubation in Children′s Total Intravenous Anesthesia
摘要
Abstract
Objective To evaluate the value of bispectral index(BIS)monitoring as an indicator for extubation sedation level after children's oper⁃ation by total intravenous anesthesia. Methods One hundred and eighty children(2⁃13 years old)were randomly divided into six groups with 30 cases in each. Group A kept BIS 56⁃60,and Group B 61⁃65,Group C 66⁃70,Group D 71⁃75,Group E 76⁃80,Group F 81⁃85 till extubation. All children were given fentanyl,propofol and cisatracurium besilate when induced,and maintained with propofol and remifentanil. All cases kept BIS 40⁃55 during the operation. Then the changes of electrocardiogram,mean arterial pressure,heart rate,SpO2,postoperative complications and recovery time were observed. Results Groups A and B were extubated at deep anesthesia,cycle stability,but with high incidence of adverse reactions and awaked with a long time. Groups E and F were extubated when awaked,but with greater stimulation and easier agitation. Groups C and D were lighter hemodynamic responses,less respiratory effects and less postoperative complications of anesthesia. Conclusion The BIS level of 66⁃75 is a good se⁃dation level for extubation,especially in the level of 71⁃75.关键词
脑电双频指数/儿童/全身麻醉/拔管Key words
bispectral index/children/total intravenous anesthesia/extubation分类
医药卫生引用本文复制引用
高光洁,乔娇,宋丹丹..儿童全凭静脉麻醉在脑电双频指数指导下气管拔管的临床观察[J].中国医科大学学报,2015,(7):614-617,4.基金项目
辽宁省自然科学基金 （）
