Cortés BMF, Athié GJM, Morales GJL, Alva ANV, Saucedo MEM

Language: Spanish
References: 16
Page: 190-194
PDF size: 165.21 Kb.

ABSTRACT

Neuromuscular blockade and electroencephalographic monitoring have become very useful tools for safer anesthetic management. This study seeks to know the frequency of their use and in which scenarios they are most commonly used. Material y methods: An observational, cross-sectional, retrospective study was conducted with data obtained from the trans- anesthetic register of patients undergoing surgery from November 2017 to January 2018. We divided the sample into two subgroups, one was with the use of BIS and the other with TOF, seeking to identify some contributing factors to decide between these. Results: 175 records were analyzed using BIS in 65 patients (37.1%) and TOF in 16 (9%). By dividing into two groups we identified significant differences for the use of TOF versus BIS if the surgery was major surgery (76.5 vs 48.1% p = 0.037), we also identified that in urgent surgeries it was decided to place TOF instead of BIS (0 vs 17.6% p = 0.013). Conclusions: It was reported that the use of BIS and TOF is well below 50% compared to the global statistics, so we are interested in reminding the relevance of the routinary use of these tools.

REFERENCES

1. American Geriatrics Society; John A. Hartford Foundation. A statement of principles: toward improved care of older patients in surgical and medical specialties. Arch Phys Med Rehabil. 2002; 83 (9): 1317-1319.

2. Grayling M, Sweeney BP. Recovery from neuromuscular blockade: a survey of practice. Anaesthesia. 2007; 62 (8): 806-809.

3. Mashour GA, Wang LY, Turner CR, Vandervest JC, Shanks A, Tremper KK. A retrospective study of intraoperative awareness with methodological implications. Anesth Analg. 2009; 108 (2): 521-526.

4. Gallardo HA, Hernández PAL, Sánchez LJA, Ordoñez EG, Islas AS, Revilla MC. Monitores de profundidad anestésica. Rev Mex Anestesiol. 2016; 39: 201-204.

5. Rodríguez NR, Miranda CI, García AJ, Benevides FS, Barbosa ROYG, Abitbol MDG. Índice bispectral y otros parámetros procesados del electroencefalograma: una actualización. Rev Bras Anestesiol. 2012; 62 (1): 105-117.

6. Sandin RH, Enlund G, Samuelsson P, Lennmarken C. Awareness during anaesthesia: a prospective case study. Lancet. 2000; 355: 707-711.

7. Davidson AJ, Huang GH, Czarnecki C, Gibson MA, Stewart SA, Jamsen K et al. Awareness during anaesthesia in children: a prospective cohort study. Anesth Analg. 2005; 100: 653-661.

8. Higuera-Medina LE. ¿Es recomendable el uso del índice biespectral en todo paciente bajo anestesia? Rev Mex Anest. 2010; 33: S64-S66.

9. Leslie K, Myles PS, Forbes A, Chan MTV. The effect of bispectral index monitoring on long-term survival in the B-aware trial. Anesth Analg. 2010; 110: 816-822.

10. Chan MTV, Hedrick TL, Egan TD, García PS, Koch S, Purdon PL et al. American Society for Enhanced Recovery and perioperative quality initiative joint consensus statement on the role of neuromonitoring in perioperative outcomes: electroencephalography. Anesth Analg. 2020; 130 (5): 1278-1291.

11. Shepherd J, Jones J, Frampton G, Bryant J, Baxter L, Cooper K. Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation. Health Technol Assess. 2013; 17 (34): 1-264.

12. Brice DD, Hetherington RR, Utting JE. A simple study of awareness and dreaming during anaesthesia. Br J Anaesth. 1970; 42 (6): 535-542.

13. Liu SS. Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology. 2004; 101 (2): 311-315.

14. Baumann, MH, McAlpin W, Brown K, Patel P, Ahmad I, Stewart R, Petrini M. A prospective randomized comparison of train-of-four monitoring and clinical assessment during continuous ICU cisatracurium paralysis. Chest. 2004; 126 (4): 1267-1273.

15. Norma Oficial Mexicana NOM-006-SSA3-2011, para la práctica de la anestesiología.

16. Castellon-Larios K, Rosero B, María Nino-de Mejía C, Bergese S. Uso de monitorización cerebral para el despertar intraoperatorio. Rev Colomb Anestesiol. 2016; 44: 23-29.