Different benefit of bispectal index (BIS) in @entity10233 and XXXX anesthesia.

@entity1 @entity390 @entity3369 @entity1209 @entity10233 @entity1875 @entity3575 @entity1937
BACKGROUND: Bispectal index (BIS) monitoring may reduce drug usage and hasten recovery in @entity1875 and inhalation anesthesia. The faster emergence profile of @entity10233 may reduce the effect of BIS monitoring on recovery from @entity10233 compared with @entity1875 . This study compared hypnotic drug usage, recovery, @entity1 satisfaction and incidence of inadequate sedation in BIS monitored and nonmonitored @entity1 anesthetized with @entity10233 or @entity1875 . METHODS: One hundred and sixty @entity1 scheduled for elective gynecological surgery were randomly assigned to @entity10233 or @entity1875 anesthesia with and without BIS monitoring. @entity3575 , @entity3369 and @entity1937 were administered according to clinical criteria. The BIS monitor was used in all @entity1 , but the monitor screen was covered in the controls. A BIS level between 45 and 55 was targeted in the BIS monitored @entity1 whereas depth of anesthesia was assessed by clinical criteria in the controls. RESULTS: The mean (SD) @entity10233 MAC-hours administered with and without BIS were 0.70 (0.15) and 0.76 (0.12), respectively, resulting in extubation times of 6.5 (4.1) and 8.3 (6.1) min. (NS). Bispectal index monitoring was associated with improved @entity1 satisfaction, reduced postoperative @entity390 and antiemetic drug requirement, and fewer episodes with sustained BIS levels > 60. The mean (SD) @entity1875 infusion rates were 6.0 (1.4) and 6.6 (0.9) mg kg(-1)h(-1) with and without the BIS monitor (P = 0.023), resulting in mean (SD) extubation times of 6.8 (4.6) and 10.5 min (5.9), respectively (P < 0.05). CONCLUSION: Bispectal index monitoring reduced @entity1875 usage and hastened recovery after @entity1875 anesthesia, whereas in @entity10233 anesthesia it was associated with improved @entity1 satisfaction, probably because of @entity1209 and fewer episodes of inadequate hypnosis.
