Value of bispectral index in fast tracking cardiac anesthesia for interventional treatment of pediatric congenital heart disease
SHEN Yan-xi
HUANG Le-lin
DENG Xiao-bing
LI Wei
HU Guang-xiu
Abstract：Objective To investigate the value of bispectral index (BIS) in fast tracking cardiac anesthesia for interventional treatment of pediatric congenital heart disease (CHD).Methods Forty pediatric patients with CHD were randomly divided into the observation group (n =20) and the control group (n =20).Patients in the observation group were treated by intensive propofol pump according to the BIS.The dose was 2 mg/kg and the value of BIS remained 40-60,while the value of BIS increased to 60-70 during the last 20 minutes of surgery.The dose of propofol in patients of the control group was adjusted by the anesthestists according to their clinical experience.The total dose of propofol,the time of awakening,the time of removed tube and the rate of side effects were observed.Results The propofol dose in the observation group was markedly lower than that in the control group (145 ± 16 mg vs 196 ± 33 mg).The observation group achieved shorter time of awakening and removed tube than the control group (3.1 ±1.2 min vs 8.2 ±3.1 min; 5.1 ± 1.6 min vs 12.1±4.2 min).Also,the rate of side effects in the observation group was 5.0％,which was significantly lower than that of the control group (45.0％).Conclusion BIS-guided fast tracking cardiac anesthesia for interventional treatment can reduce the awaken time and enhance the postoperative recovery of the pediatric patients with CHD.
Keywords：Heart defects,congenitalRadiology,interventionalBispectral indexAnesthetics,intravenousAnesthesia recovery period
Publication Date：2013-03-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 305-306 )