Effect of Nitrous Oxide on Bispectral Index during Sevoflurane Anesthesia. |
Kyoung Hun Kim, Yun Jeong Choi, Jae Hang Shim, Woo Jae Jeon, Sang Yoon Cho, Woo Jong Shin, Jong Hoon Yeom |
Department of Anesthesiology and Pain Medicine, College of Medicine, Hanyang University, Seoul, Korea. yeomjh@hanyang.ac.kr |
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Abstract |
BACKGROUND Nitrous oxide is generally avoided in order to prevent either hypoxia or graft dislodgment during tympanoplasty. The aim of this study was to investigate the effect of nitrous oxide on the bispectral index during sevoflurane anesthesia at the anesthetic dose. METHODS The bispectral index was continually measured during nitrous oxide-oxygen-sevoflurane anesthesia, discontinuation of nitrous oxide and the reintroduction of nitrous oxide. RESULTS The bispectral index of nitrous oxide-oxygen-sevoflurane anesthesia increased after discontinuing the nitrous oxide and decreased after its reintroduction. CONCLUSIONS Nitrous oxide decreased the bispectral index of nitrous oxide-oxygen-sevoflurane anesthesia compared with oxygen-sevoflurane anesthesia at the anesthetic dose. |
Key Words:
bispectral index; nitrous oxide; sevoflurane |
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