Reference : Effect of an intubation dose of rocuronium on Spectral Entropy and Bispectral Index (TM)...
Scientific journals : Article
Human health sciences : Anesthesia & intensive care
http://hdl.handle.net/2268/736
Effect of an intubation dose of rocuronium on Spectral Entropy and Bispectral Index (TM) responses to laryngoscopy during propofol anaesthesia
English
Hans, Pol [Université de Liège - ULg > Département des sciences cliniques > Anesthésie et réanimation]
Giwer, Jérôme mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Brichant, Jean-François [Université de Liège - ULg > Département des sciences cliniques > Anesthésie et réanimation >]
Dewandre, Pierre-Yves [> > > >]
Bonhomme, Vincent [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques]
Dec-2006
British Journal of Anaesthesia
Oxford Univ Press
97
6
842-847
Yes (verified by ORBi)
International
0007-0912
Oxford
[en] anaesthetic techniques ; laryngoscopy ; anaesthetics i.v. ; propofol ; monitoring ; bispectral index ; neuromuscular block ; rocuronium ; pain ; acute ; spectral entropy
[en] Background. The spectral entropy of the electroencephalogram has been proposed to monitor the depth of anaesthesia. State Entropy (SE) reflects the level of hypnosis. Response Entropy (RE), computed from electroencephalogram and facial muscle activity, reflects the response to nociceptive stimulation. We evaluated the effect of rocuronium on Bispectral Index (TM) (BIS) and entropy responses to laryngoscopy. Methods. A total of 25 patients were anaesthetized with propofol using a target-controlled infusion. At steady state, they randomly received 0.6 mg kg(-1) rocuronium (R) or saline (S). After 3 min, a 20 s laryngoscopy was applied. BIS, RE and SE were recorded continuously and averaged over 1 min during baseline, at steady state, 2 min after R or S administration (R/S+2) and 0, 1, 2 and 3 min after laryngoscopy (L0, L1, L2, L3). Results. At R/S+2, the RE-SE gradient was higher in Group S than in Group R. Laryngoscopy provoked an increase in BIS, RE and SE. Comparing R/S+2 and L0 values in Groups R and S, BIS increased from 43 (6) to 49 (8) and 42 (9) to 51 (15), SE increased from 43 (7) to 50 (8) and 41 (10) to 55 (12), and RE increased from 46 (8) to 54 (9) and 47 (12) to 66 (15), respectively. BIS and SE did not differ between groups. At L0, RE and RE-SE were higher in Group S [66 (15) and 11 (4), respectively] than in Group R [54 (9) and 4 (2), respectively]. Conclusions. Rocuronium alters the RE-SE gradient and the RE and RE-SE responses to laryngoscopy. Muscle relaxation may confound interpretation of entropy monitoring.
http://hdl.handle.net/2268/736
10.1093/bja/ael253

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Restricted access
44.pdfPublisher postprint396.09 kBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.