Anesthesia
Conditions
Keywords
Propofol, Breath testing, anesthesia monitoring, Bispectral Index, intravenous and inhalational anesthesia
Brief summary
This study aims to propose a strategy for controlling the depth of anesthesia based on continuous and non-invasive monitoring of exhaled breath: BIS value during intravenous-inhalation combined anesthesia is predicted according to the real-time exhaled concentrations of sevoflurane and propofol, so as to achieve the depth of anesthesia management for patients who cannot use standard BIS. Furthermore, the relationship between anesthetic concentration and depth of anesthesia was analyzed in different subgroups.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 years old * ASA I-III * Expected duration of surgery \> 1 hour * Radial artery catheterization was performed * Patients requiring BIS monitoring.
Exclusion criteria
* Patients with contraindications to general anesthesia * mental disorder, unable to answer * long-term use of antiepileptic drugs and psychotropic drugs * pregnant patients * patients refused to participate * the investigator thought that the study was not suitable for inclusion * patients who did not wake up in PACU
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation and consistency analysis between exhaled breath concentrations of two anesthetics and BIS values | 1 day | Correlation and consistency analysis between exhaled breath concentrations of two anesthetics detected by GC-SAW system and BIS values |
| Establish a 3D drug dose-effect model of the exhaled concentration and BIS value of anesthetics | 1day | Establish a 3D drug dose-effect model based on the exhaled gas concentration of anesthetics detected by the GC-SAW system and BIS value |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation and consistency analysis of exhaled breath concentration and blood concentration of anesthetics | 1day | Correlation and consistency analysis of exhaled breath concentration and blood concentration of anesthetics detected by GC-SAW system |
| The incidence of adverse reactions | 72 hours | The occurrence of adverse reactions such as postoperative cognitive dysfunction, postoperative nausea and vomiting, chills, and delayed awakening within 72 hours after the operation |
Countries
China