The effects of 'Adequacy of Anesthesia' monitorization in general anesthesia on hemodynamics, recovery, and the cost of anesthetic drugs

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dc.contributor.authorResul, Yilmaz
dc.contributor.authorAhmet, Topal
dc.contributor.authorSule, Arican
dc.contributor.authorGulcin, Hacibeyoglu
dc.contributor.authorSeyda, Turk
dc.date.accessioned2024-02-23T14:49:31Z
dc.date.available2024-02-23T14:49:31Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractObjective: Adequacy of anaesthesia provides information about electrical activity of the brain with entropy, and analgesic response of the body with surgical pleth index (SPI). In this study, we aimed to evaluate the effects of anesthetic management performed using adequacy of anaesthesia monitorization on intraoperative hemodynamics, postoperative recovery and the cost of anesthetic drugs. Design: Prospective, randomized and controlled study Setting: Department of Anesthesiology and Reanimation, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey Subjects: A total of 120 patients scheduled for thyroidectomy operation under general anesthesia were included in the study. Intervention: Patients divided into two equal groups as Group Adequacy of Anesthesia (Group AoA, n=60) and Group Control (Group C, n=60). For the induction, Group C was maintained with 1-2 mg/kg propofol and 1 mu g/kg remifentanil injection, while based on the entropy and SPI values during the induction, Group AoA was injected with propofol and remifentanil so as to provide state entropy and SPI values of 50 +/- 10. Main outcome measures: Hemodynamic data, times and recovery data were recorded and statistically analyzed. Results: Extubation and recovery times were significantly shorter in Group AoA (P=0.29, P<0,01, P << 0.01; respectively). The cost of anesthesia calculated based on the amount of drugs used was significantly lower in group AoA (P<0.01). Conclusion: In this study where we compared the use of adequacy of anesthesia with conventional anesthetic depth monitorization methods, we found that the use of adequacy of anesthesia provided positive contributions to the cost of anesthetic drugs and post-anesthetic recovery.en_US
dc.description.sponsorshipNecmettin Erbakan University Scientific Research Projects Coordination Unit [:161218025]en_US
dc.description.sponsorshipThe authors acknowledge Necmettin Erbakan University Scientific Research Projects Coordination Unit (Project no:161218025) for the funding support.en_US
dc.identifier.endpage214en_US
dc.identifier.issn1607-8047
dc.identifier.issn0023-5776
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage208en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12452/18238
dc.identifier.volume54en_US
dc.identifier.wosWOS:001087350200008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherKuwait Medical Assocen_US
dc.relation.ispartofKuwait Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdequacy Of Anesthesiaen_US
dc.subjectCost Of Anesthesiaen_US
dc.subjectDepth Of Anesthesiaen_US
dc.subjectGeneral Anesthesiaen_US
dc.subjectRecoveryen_US
dc.titleThe effects of 'Adequacy of Anesthesia' monitorization in general anesthesia on hemodynamics, recovery, and the cost of anesthetic drugsen_US
dc.typeArticleen_US

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