Thoracic Surgery
Conditions
Keywords
anaesthesia
Brief summary
Monitoring the bispectral index (BIS) as a peri-operative hemodynamic tool appears to be justified by the agreement between various clinical situations in which BIS monitoring appears to be of value: the prognosis in traumatic head injury, the diagnosis of brain death , and the diagnosis of amniotic fluid embolism. The current controversy concerning the triple low state reinforces the need for an accurate study in this field. Furthermore, the recent review by Bidd argues in this sense.
Interventions
BIS (bispectral index ), PI (perfusion index ), etCO2 (end-tidal carbon dioxide ), and brain NIRS (near-infrared spectroscopy)
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (over-18) patients presenting an indication for general anaesthesia during elective cardiac surgery and being monitored for sedation depth * Good echogenicity * Social security coverage
Exclusion criteria
* Pregnancy * Subjects with black skin (a known technical limitation of plethysmography) * Cardiac arrhythmia * Sepsis * Poor echogenicity * Legal guardianship or incarceration * Complications of anaesthesia during induction (anaphylactic shock, cardiac arrest, arrhythmia, or intubation not possible)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| correlation between variations in the BIS and variations in cardiac output | Day 0 | as measured by transthoracic echocardiography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| correlation between cardiac output and the perfusion index (PI) during the induction of anaesthesia. | Day 0 | measured by transthoracic echocardiography |
| correlation between cardiac output and end-tidal carbon dioxide (etCO2) during the induction of anaesthesia. | Day 0 | measured by transthoracic echocardiography |
| correlation between the cardiac output and the value of brain tissue oxygenation (measured by near-infrared spectroscopy (NIRS)) during the induction of anaesthesia | Day 0 | measured by transthoracic echocardiography |
Countries
France