[Target-controlled intravenous anesthesia during laparoscopic surgery for XXXX ].

@entity1 @entity23905 @entity101 @entity28 @entity254 @entity5845 @entity1875 @entity954 @entity551 @entity1168 @entity1937
BACKGROUND: The @entity23905 is a mode of administration that provides greater security by allowing more accurate titration of the anesthetic agent. It leads to a better adaptation to the desired effects, and provide a great interest for the realization of anesthetic induction and the prediction of waking for a well- determined population. OBJECTIVE: The aim of our prospective study was to evaluate the feasibility of @entity23905 in @entity1 with @entity5845 undergoing laparoscopic surgery for @entity28 . METHODS: Thirty @entity1 were included in this study. Age and BMI means were 32 years and 49.31 kg / m2. Our protocol was proposed to associate an hypnotic agent ( @entity1875 ) to an opioid one ( @entity1937 ) using the technique of the @entity23905 , with respectively Schnider and Minto models. RESULTS: The induction protocol has brought good conditions for laryngoscopy with no @entity101 peak or desaturation episode. The period of unconsciousness was 89 seconds with an average target concentration of @entity1875 of 5.1 mg / ml. We also noted hemodynamic stability in 79% of @entity1 at induction. During both preparation phase and final installation of the @entity1 , a low ERC to 2 hg / ml was consistent with a suitable hemodynami profile. We obtained hemodynamic stability by adapting target concentration of @entity1937 at different operating times ( @entity954 : 3.64 hg / ml, insufflation of the peritoneum: 5.37 hg / ml, jejuno-jejunal resection @entity254 : 9 hg / ml, gastric resection and gastrojejunal @entity254 : 14.2 hg / ml). During this period, no episodes of @entity1168 or @entity551 were noticed. During the recovery phase and while doing the distribution of CEP and CER according to the BMI of @entity1 , we identified two groups: Group 1 (BMI <49 kg / m2): fast time extubation (11 min) and target concentrations of @entity1875 and @entity1937 respectively at 1.3 mg / ml and 1.25 hg / ml which is similar to most publications on this subject and Group 2 (BMI> 49 kg / m2): time-delayed extubation (23 min) with very low values of CEP and CER inconsistent with the literature data.
