Anesthesia
Conditions
Brief summary
The main objective of the study is to analyze the influence of nitrous oxide on propofol and remifentanil requirements.
Detailed description
Nitrous oxide is a widely used anesthetic agent. The mechanism of its central action is not completely understood and its importance is questioned. Total intravenous anesthesia can be driven by a computer using bispectral index as a controller. Such a system matches anesthetic agent requirements to the needs of each individuum and thus allows an unbiased evaluation of the influence of nitrous oxide. Two groups of patients are compared: one ventilated with a oxygen-air mixture and one with oxygen-nitrous oxide mixture. Anesthesia is provided by a dual-loop which adapts propofol and remifentanil target concentrations to maintain a bispectral index between 40 and 60 in both groups.
Interventions
60% air combined with 40% oxygen for ventilation
60% nitrous oxide combined with 40% oxygen for ventilation
Sponsors
Study design
Eligibility
Inclusion criteria
* General anaesthesia with controlled ventilation
Exclusion criteria
* Age lower than 18 years * Pregnant woman * Allergy to the propofol or to a muscle myorelaxant * Patients receiving a psychotropic treatment * Presence of a central neurological disorder or a lesion cerebral * Patients having an anomaly of blood cells count preoperative biological assessment * Patients having had an anaesthesia in the previous month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measure: influence of nitrous oxide on the automated administration of propofol and remifentanil. | during anesthesia |
Secondary
| Measure | Time frame |
|---|---|
| Measure: consequences of the use of nitrous oxide on the performance of the automated administration system. | during anesthesia |
| Influence of Gender | during anesthesia |
Countries
Belgium, France, Germany