The utility of bispectral index monitoring for prevention of rocuronium-induced withdrawal movement in children A randomized controlled trial
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lim, Byung Gun | - |
dc.contributor.author | Lee, Il Ok | - |
dc.contributor.author | Kim, Young Sung | - |
dc.contributor.author | Won, Young Ju | - |
dc.contributor.author | Kim, Heezoo | - |
dc.contributor.author | Kong, Myoung Hoon | - |
dc.date.accessioned | 2021-09-03T11:31:22Z | - |
dc.date.available | 2021-09-03T11:31:22Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-01 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/85061 | - |
dc.description.abstract | Background: This study was designed to determine whether a deep hypnotic state with a bispectral index (BIS) value less than 40 could alleviate withdrawal movement (WM) upon rocuronium injection during anesthesia induction in children. Methods: Finally, 135 healthy children (3-12 years) scheduled for minor elective surgery were studied. Without premedication, anesthesia was induced with thiopental sodium 5mg/kg. Patients were randomized into 2 groups (control vs experimental) and then by virtue of rocuronium injection time, patients in the experimental group were allocated into 2 groups, as follows: in the control group (group C; n=45), rocuronium 0.6mg/kg was administered at the loss of eyelash reflex; in the 1st experimental group, rocuronium 0.6 mg/kg was administered when BIS fell to less than 40 (group T; n=45); however, if BIS did not fall below 40 after thiopental sodium administration, manual ventilation was provided with oxygen 6L/minute using sevoflurane 8% and then rocuronium was administered when BIS fell below 40 (the 2nd experimental group, group S; n=45). Rocuronium-inducedWMwas evaluated using a 4-point scale (no movement; movement/withdrawal involving the arm only; generalized response, with movement/withdrawal of more than 1 extremity, but no requirement for restraint of the body; and generalized response which required restraint of the body and caused coughing or breath-holding). Results: No significant differences were found among the groups for patient characteristics including age, sex, height, and location of venous cannula. However, body weight, height, and body mass index in group S were all smaller than those in group T. The incidence ofWM caused by rocuronium was 100% in group C, 95.6% in group T, and 80% in group S, and was significantly lower in group S than in group C. The grade ofWMwas 3.7 +/- 0.6 in group C, 3.2 +/- 0.9 in group T, and 2.6 +/- 1.0 in group S. It was significantly lower in group T than in group C and significantly lower in group S than in groups C and T. Conclusion: The confirmation of a deep hypnotic state with BIS values lower than 40 using BIS monitoring can reduce the grade of rocuronium-induced WMs during anesthesia induction using thiopental sodium or sevoflurane in children. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | STATE INDEX | - |
dc.subject | INJECTION | - |
dc.subject | PAIN | - |
dc.subject | PRETREATMENT | - |
dc.subject | LIDOCAINE | - |
dc.subject | SEVOFLURANE | - |
dc.subject | FENTANYL | - |
dc.subject | REMIFENTANIL | - |
dc.subject | ONDANSETRON | - |
dc.subject | ANESTHETICS | - |
dc.title | The utility of bispectral index monitoring for prevention of rocuronium-induced withdrawal movement in children A randomized controlled trial | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lim, Byung Gun | - |
dc.contributor.affiliatedAuthor | Lee, Il Ok | - |
dc.contributor.affiliatedAuthor | Kim, Heezoo | - |
dc.contributor.affiliatedAuthor | Kong, Myoung Hoon | - |
dc.identifier.doi | 10.1097/MD.0000000000005871 | - |
dc.identifier.wosid | 000392480000040 | - |
dc.identifier.bibliographicCitation | MEDICINE, v.96, no.2 | - |
dc.relation.isPartOf | MEDICINE | - |
dc.citation.title | MEDICINE | - |
dc.citation.volume | 96 | - |
dc.citation.number | 2 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | STATE INDEX | - |
dc.subject.keywordPlus | INJECTION | - |
dc.subject.keywordPlus | PAIN | - |
dc.subject.keywordPlus | PRETREATMENT | - |
dc.subject.keywordPlus | LIDOCAINE | - |
dc.subject.keywordPlus | SEVOFLURANE | - |
dc.subject.keywordPlus | FENTANYL | - |
dc.subject.keywordPlus | REMIFENTANIL | - |
dc.subject.keywordPlus | ONDANSETRON | - |
dc.subject.keywordPlus | ANESTHETICS | - |
dc.subject.keywordAuthor | anesthesia | - |
dc.subject.keywordAuthor | anesthesia | - |
dc.subject.keywordAuthor | anesthetics | - |
dc.subject.keywordAuthor | bispectral index monitor | - |
dc.subject.keywordAuthor | children | - |
dc.subject.keywordAuthor | general | - |
dc.subject.keywordAuthor | inhalation | - |
dc.subject.keywordAuthor | rocuronium | - |
dc.subject.keywordAuthor | sevoflurane | - |
dc.subject.keywordAuthor | thiopental | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
145 Anam-ro, Seongbuk-gu, Seoul, 02841, Korea+82-2-3290-2963
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.