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[腹腔镜手术氙气麻醉期间的脑电图、脑电图信息饱和度及脑电双频指数]

[Electroencephalogram, informational saturation of electroencephalogram, and bispectral index during xenon anesthesia for laparoscopic operations].

作者信息

Likhvantsev V V, Volovik A G, Petrov O V, Sitnikov A V, Subbotin V V

出版信息

Anesteziol Reanimatol. 2002 May-Jun(3):36-9.

Abstract

The depth of xenon anesthesia was never evaluated by modern methods of EEG monitoring, and hence, we studied changes in EEG, INEEG, and BIS during different stages of xenon narcosis and evaluated the possibility of using these values as criteria of xenon anesthesia adequacy. The study was carried out in 60 patients during laparoscopic operations on abdominal organs. The patients were divided into 2 groups receiving different gas anesthetics (xenon or nitric oxide). The results indicate that xenon monoanesthesia caused dose-dependent changes in the native and treated EEG; xenon is a good inhalation anesthetic providing adequate anesthesia for little traumatic operations even in case of mononarcosis; INEEG and BIS monitoring during xenon anesthesia allows an objective evaluation of its depth.

摘要

氙气麻醉深度从未通过现代脑电图监测方法进行评估,因此,我们研究了氙气麻醉不同阶段脑电图(EEG)、颅内脑电图(INEEG)和脑电双频指数(BIS)的变化,并评估了将这些值用作氙气麻醉充分性标准的可能性。该研究在60例接受腹部器官腹腔镜手术的患者中进行。患者被分为两组,分别接受不同的气体麻醉剂(氙气或一氧化氮)。结果表明,单纯氙气麻醉可引起原始脑电图和处理后脑电图的剂量依赖性变化;氙气是一种良好的吸入麻醉剂,即使在单纯麻醉的情况下,也能为微创操作提供充分的麻醉;氙气麻醉期间的INEEG和BIS监测可对其麻醉深度进行客观评估。

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