Email this article Application of bispectral index and analgesia nociception index monitoring during laparoscopic cholecystectomy
- Authors: Mashyn A.M.1, Kobelyatskiy Y.Y.1
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Affiliations:
- «Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine»
- Issue: Vol 14, No 4 (2020)
- Pages: 217-223
- Section: Original articles
- URL: https://journals.rcsi.science/1993-6508/article/view/62412
- DOI: https://doi.org/10.17816/1993-6508-2020-14-4-217-223
- ID: 62412
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Abstract
The study provides a theoretical generalization and substantive solution to the scientific and practical problem of increasing the efficiency of anesthesia for surgical interventions, such as laparoscopic cholecystectomy, under individualized anesthetic support. This study also presents the peculiar courses of various anesthetic methods during the perioperative period in 120 patients with cholelithiasis who underwent laparoscopic cholecystectomy. Anesthesia types included total intravenous anesthesia using propofol and inhalation anesthesia with sevoflurane. Monitoring the bispectral index and analgesia and nociception index has been widely performed to assess the adequacy of various anesthetic options. These indices were also monitored to assess hemodynamic and autonomic regulation parameters in real time and to predict changes in these parameters intraoperatively. The results suggested the broad possibilities of monitoring, controlling, and minimizing the effect anesthesia on the cardiovascular system in conditions associated with a transient increase in the intra-abdominal pressure.
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##article.viewOnOriginalSite##About the authors
A. M. Mashyn
«Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine»
Email: kobeliatsky@ukr.net
Ukraine, 49044, Dnipro
Yuriy Y. Kobelyatskiy
«Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine»
Author for correspondence.
Email: kobeliatsky@ukr.net
Doctor of Medical Sciences, Professor, Head of the Department of Anesthesiology and Intensive Care, State Institution “Dnepropetrovsk Medical Academy of the Ministry of Health of Ukraine”
Ukraine, 49044, DniproReferences
- Brown E, Pavone KJ, Naranjo M. Multimodal general anesthesia: theory and practice. Anesth Analg. 2018;127(5):1246–1258. doi: 10.1213/ANE.0000000000003668.
- Bajwa SJ, Kulshrestha A. Anaesthesia for laparoscopic surgery: General vs. Regional Anaesthesia. J Minim Access Surg. 2016;12(1):4–9. doi: 10.4103/0972-9941.169952.
- Srivastava A, Niranjan A. Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations. J Minim Access Surg. 2010;6(4):91–94.
- Hori T, Oike F, Furuyama H, Machimoto T, Kadokawa Y, Hata T, et al. Protocol for laparoscopic cholecystectomy: Is it rocket science? World J Gastroenterol. 2016;22(47):10287–10303. doi: 10.3748/wjg.v22.i47.10287.
- Checketts MR, Alladi R, Ferguson K, Gemmell L, Handy JM, Kltein AA, et al. Recommendations for standards of monitoring during anaesthesia and recovery. Anaesthesia. 2016;71(1):85–93. doi: 10.1111/anae.13316.
- Chumachenko ED. Analgesia Nociception Index: from Objective Evaluation of Nociception to Analgesia Improvement. Clinical Anesthesiology & Intensive Care. 2014;2(4):90–102.
- Le Guen M, Jeanne M, Sievert K, Al Moubarik M, Chazot T, Laloë PA, et al. The Analgesia Nociception Index: a pilot study to evaluation of a new pain parameter during labor. Int J Obstet Anesth. 2012;21(2):146–151. doi: 10.1016/j.ijoa.2012.01.001.
- Boselli E, Bouvet L, Bégou G, Torkmani S, Allaouchiche B. Prediction of haemodynamic reactivity during total intravenous anaesthesia for suspension laryngoscopy using Analgesia/Nociception Index (ANI): a prospective observational study. Minerva Anestesiol. 2015;81(3):288–297.
- Jeanne M, Clement C, De Jonckheere J, Logier R, Tavernier B. Variations of the analgesia nociception index during general anaesthesia for laparoscopic abdominal surgery. J Clin. Monit Comput. 2012;26(4):289–294. doi: 10.1007/s10877-012-9354-0.
- Peng K, Liu H-Y, Wu S-R, Liu H, Zhao-Cai Zhang Z-C, Fu-Hai Ji F-H. Does Propofol Anesthesia Lead to Less Postoperative Pain Compared With Inhalational Anesthesia? A Systematic Review and Meta-analysis. Anesth. Analg. 2016;123(4):846–858. doi: 10.1213/ANE.0000000000001504.
- Prathep S, Mahattanaporn S, Wasinwong W. Target Controlled Infusion versus Sevoflurane/Desflurane Anesthesia for Laparoscopic Cholecystectomy: Comparison Postoperative Nausea/Vomiting and Extubation Time. J Med Assoc Thai. 2015;98(12):1187–1192.
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