Neuromuscular Monitoring
Conditions
Keywords
Propofol, Sevoflurane, Etomidate, Rocuronium, BIS, Closed loop infusion system
Brief summary
Different concentration of sevoflurane was given to maintain anesthesia. The dose of propofol to maintain BIS between 40-60 and the consumption of rocuronium was recorded and evaluated.
Detailed description
2 age group of patients was selected, 40-60 years and above 60 years. Maintenance of anesthesia was carried out using different concentration of Sevoflurane, ie MAC 0.5, 0.75 and 1.0. Bis value was kept between 40-60 and the dose of propofol required was recorded. Rocuronium infusion given in a close loop infusion system for different group was tabulated. The results was then analysed.
Interventions
0.5 MAC Sevoflurane
0.75 MAC Sevoflurane
1.0 MAC Sevoflurane
Propofol consumption
Etomidate consumption
Consumption of Rocuronium
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI \< 30 * elective Gynaecological/abdominal/urological surgery * Operation time \< 3hrs * ASA I/II * Intubated patients
Exclusion criteria
* Coronary artery disease, cardiac, lung, hepatic and renal insufficiency * Severe uncontrolled HBP * Obesity (BMI \>30) * Neuromuscular and metabolic diseases * Receiving medication known to influence neuromuscular transmission * Pregnancy * Psychiatric disorders * Allergy history to any of the drugs that will be used
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| consumption of propofol | Intraoperative | Propofol, Etomidate, Rocuronium consumption under specific concentration of sevoflurane keeping BIS between 40-60 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery Index | Intraoperative | T25%-T75% |
| Onset time | Intraoperative | Time from starting infusion of Rocuronium at induction till T\<10% |
| Sevoflurane time | Intraoperative | Time from starting sevoflurane till end tidal concentration is reached |