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Remifentanil-based propofol-supplemented vs. balanced sevoflurane-sufentanil anesthesia regimens on bispectral index recovery after cardiac surgery: a randomized controlled study

Sung TY, Lee DK, Bang J, Choi J, Shin S, Kim TY

Background: The present study was to compare the potential impact of remifentanil-based propofol-supplemented anesthesia regimen vs. conventional sevoflurane-sufentanil balanced anesthesia on postoperative recovery of consciousness indicated by c) values in...
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Effects site concentrations of propofol using target-controlled infusion in dental treatment under deep sedation among different intellectual disability types

Salinas Salmeron KS, Kim HJ, Seo KS

BACKGROUND: We aimed to assess the dose needed to achieve the propofol effect-site concentration using target-controlled infusion in intellectually disabled patients and to detail the most effective method for achieving...
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Comparison between cerebral state index and bispectral index during desflurane anesthesia

Cho SH, Kim SS, Hyun DM, Yoon HS, Han JW, Kim JS

BACKGROUND: Cerebral state index (CSI) is an anesthesia depth monitor alternative to bispectral index (BIS). Published comparative studies have used propofol or sevoflurane. However, studies using desflurane have not been...
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Analysis of electroencephalogram-derived indexes for anesthetic depth monitoring in pediatric patients with intellectual disability undergoing dental surgery

Silva A, Amorim P, Felix L, Abelha F, Mourão J

BACKGROUND: Patients with intellectual disability (ID) often require general anesthesia during oral procedures. Anesthetic depth monitoring in these patients can be difficult due to their already altered mental state prior...
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Hypercapnia does not shorten emergence time from propofol anesthesia: a pilot randomized clinical study

Kwon KH, Bae H, Kang HG, In J

BACKGROUND: The elimination of anesthetic agents is a decisive factor in the emergence from general anesthesia. In this pilot study, we hypothesized that hypercapnia would decrease the emergence time from...
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Use of the Bispectral Index to Predict Eye Position of Children during General Anesthesia

Kook KH, Chung SA, Park S, Kim DH

PURPOSE: To assess the relationship between eye position and anesthesia depth using the bispectral index (BIS) value, a parameter derived from electroencephalography data. METHODS: We investigated the relationship between BIS value...
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A low dose of droperidol decreases the desflurane concentration needed during breast cancer surgery: a randomized double-blinded study

Satomoto M, Adachi YU, Makita K

BACKGROUND: Droperidol (DHB) reportedly reduces the dose of propofol needed to achieve hypnosis when anesthesia is induced and decreases the bispectral index (BIS) in propofol-sedated patients during spinal anesthesia. We...
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Changes in bispectral index score and cardiorespiratory function under constant rate infusion with alfaxalone in dogs

Yun S, Kwon YS

Changes in the cardiovascular and bispectral index score were evaluated in dogs subjected to constant rate infusion (CRI) with alfaxalone. Fifteen dogs were assigned to three groups of 5. Groups...
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A loading dose of 1 µg/kg and maintenance dose of 0.5 µg/kg/h of dexmedetomidine for sedation under spinal anesthesia may induce excessive sedation and airway obstruction

Yeom JH, Oh MK, Ahn DW, Park SI

BACKGROUND: For many drugs, dosing scalars such as ideal body weight (IBW) and lean body mass are recommended over the use of total body weight (TBW) during weight-based dose calculations....
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Anesthetic Experience of Spinal Anesthesia after Sedation in Un-cooperated Elderly Patients

Koo BS, Jung MJ, Lee JH, Cho SH, Kim SH, Chae WS

Regional anesthesia is mostly used in operations on the lower abdomen or lower extremities in elderly patients. It shows nearly no difference in long-term outcomes compared to general anesthesia, but...
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The effects of deep and light propofol anesthesia on stress response in patients undergoing open lung surgery: a randomized controlled trial

Jung SM, Cho CK

BACKGROUND: This prospective, randomized controlled study was undertaken to compare stress hormone response to open thoracotomy for lung resection at different anesthetic depths, as determined by bispectral index (BIS) monitoring,...
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The optimal anesthetic depth for interventional neuroradiology: comparisons between light anesthesia and deep anesthesia

Jung YS, Han YR, Choi ES, Kim BG, Park HP, Hwang JW, Jeon YT

BACKGROUND: This study was designed to determine the optimal anesthetic depth for the maintenance and recovery in interventional neuroradiology. METHODS: Eighty-eight patients undergoing interventional neuroradiology were randomly allocated to light anesthesia...
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The effect of dexmedetomidine as an adjuvant to ropivacaine on the bispectral index for supraclavicular brachial plexus block

Kwon Y, Hwang SM, Lee JJ, Kim JH

BACKGROUND: The aim of this study was to evaluate the sedative effect of dexmedetomidine (DEX) added to ropivacaine for supraclavicular brachial plexus block (BPB) using the bispectral index (BIS). METHODS: Sixty...
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Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery

Lee SW, Choi SE, Han JH, Park SW, Kang WJ, Choi YK

BACKGROUND: Bispectral index (BIS) monitoring reduces the cases of intraoperative awareness. Several factors can alter BIS readings without affecting the depth of anesthesia. We conducted a study to assess the...
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Bispectral Index Monitoring during Anesthesiologist-Directed Propofol and Remifentanil Sedation for Endoscopic Submucosal Dissection: A Prospective Randomized Controlled Trial

Park WY, Shin YS, Lee SK, Kim SY, Lee TK, Choi YS

PURPOSE: Endoscopic submucosal dissection (ESD) is a technically difficult and lengthy procedure requiring optimal depth of sedation. The bispectral index (BIS) monitor is a non-invasive tool that objectively evaluates the...
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Risk Factors for Delirium after Spine Surgery in Elderly Patients

Seo JS, Park SW, Lee YS, Chung C, Kim YB

OBJECTIVE: Postoperative delirium is a common complication in the elderly after surgery but few papers have reported after spinal surgery. We analyzed various risk factors for postoperative delirium after spine...
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Sevoflurane versus propofol for interventional neuroradiology: a comparison of the maintenance and recovery profiles at comparable depths of anesthesia

Choi ES, Shin JY, Oh AY, Park HP, Hwang JW, Lim YJ, Jeon YT

BACKGROUND: Sevoflurane and propofol are used widely for interventional neuroradiology (INR). Using the bispectral index (BIS), we compared the clinical properties of sevoflurane and propofol anesthesia in patients undergoing INR...
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Comparison of bispectral index scores from the standard frontal sensor position with those from an alternative mandibular position

Lee SY, Kim YS, Lim BG, Kim H, Kong MH, Lee IO

BACKGROUND: The standard bifrontal application of the bispectral index (BIS) sensor interferes with the operative field in neurosurgery and plastic surgery. The aim of this study was to compare the...
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Pitfall of bispectral index during intraoperative seizure: a case report

Kim H, Kim SY

We report a case of a 42-year-old male who developed generalized tonic-clonic seizure with sudden, brief decrease in bispectral index (BIS) value while undergoing emergency kidney transplantation. Few reports have...
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The comparison of predictive performance in bispectral index prediction during target effect-site controlled infusion of propofol using different blood effect-site equilibration rate constants in the same pharmacokinetic model

Choi BM, Bang JY, Jung KW, Lee JH, Bae HY, Noh GJ

BACKGROUND: Blood-brain equilibration rate constant (k(e0)) is derived from either pharmacokinetic and pharmacodynamic modeling (k(e0_model)) or a model-independent observed time to peak effect (k(e0_tpeak)). Performance in bispectral index (BIS) prediction...
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