Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Nov 2016)

Comparing Patient Recovery after Laparoscopic Surgery for Women using Bispectral Index and Standard Clinical Method

  • M Alimian,
  • R Safaeian,
  • B Zaman,
  • SHR Feyz,
  • A Azizi

Journal volume & issue
Vol. 18, no. 11
pp. 14 – 21

Abstract

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BACKGROUND AND OBJECTIVE: Due to ever increasing demand for laparoscopic surgeries, the need for appropriate prescription of drug, faster recovery and decreasing the side effects seems more necessary than ever before. The present study was conducted to compare patient recovery after laparoscopic surgery for women using bispectral index (BIS) and standard clinical method. METHODS: This clinical trial was conducted using women that underwent laparoscopic surgery in Rasool Akram Hospital. Patients were randomly divided into two groups: group A (standard clinical method) and group B (bispectral index monitoring). For group A, general anesthetic medication was administered according to body weight and hemodynamic status. In case of increase in hemodynamic changes for 20% more than the basic pressure, 20% was added to propofol dosage. For group B, if BIS was increased or decreased, BIS was kept in the range of 45-60 by increasing or decreasing propofol for 10% gradually or continuously. Discharge time, time of reaching aldrete score of 9 or more, the amount of narcotics used, pain intensity on admission, the incidence of nausea and vomiting, systolic/diastolic blood pressure and heart rate in every 5 minutes was recorded in recovery (IRCT: 2015122919715N2). FINDINGS: No significant difference was observed between group A (51.95±27.9) and B (49.35±21.25) in terms of discharge time. There was also no significant difference between time of reaching aldrete score of 9 or more in group A (22.6±9.02) and B (27±14.63). There was also no significant difference between the amount of narcotics used in group A (18±7.68) and B (24.62±13.51). CONCLUSION: According to the results of this study, there is no significant difference between bispectral index (BIS) and standard clinical method in managing anesthesia and enhancing patient recovery after laparoscopic surgery for women.

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