[Anesthetic dose correction in hospital pharmacology using bispectral index monitoring technology].
BACKGROUND
Modern hospital pharmacology insists on assessing each patient's individual characteristics because of their influence on drug pharmacokinetics and pharmacodynamic effect. The study was aimed at evaluating anesthetic doses in patients with benign larynx tumors treated by general endotracheal anesthesia during endoscopic surgery procedures.


METHODS
The study is a part of a prospective, phase IV, academic study carried out at the Clinical Center of Serbia. The evaluation included 30 patients, who were divided into two groups: Group A - 10 patients, anesthetized with standard recommended anesthetic doses. The insight into the obtained bispectral index values was possible only after completion of the surgery. Group B consisted of 20 patients, anesthetized with anesthetic doses corrected according to bispectral index monitoring values.


RESULTS
The average duration of waking up in group A and B was 120.0 +/- 10.0 sec and B 70.0 +/- 9.0 sec, respectively, (p<0.01). When compared with group A the corrected induction anesthetic doses, corrected maintenance doses and anesthetic total consumption were lower in group B by 25% (p<0.01), 15% (p<0.01) and 25% (p<0.01), respectively.


CONCLUSIONS
It is possible to overdose anesthetic drug during surgery without using bispectral index technology monitoring during general anesthesia in otorhinolaryngology maxillofacial surgery. Bispectral index monitoring should be the clinical standard in general anesthesia.
Sluzba za klinicku farmakologiju, Klinicki centar Srbije, Beograd. drmaca.kastratovic@gmail.com
Dragana A
DA
Kastratović
Nadezda N
NN
Radosić
Branko D
BD
Milaković
Snjezana D
SD
Tomić
Vladimir S
VS
Nesić
Srdan Z
SZ
Marković
D000768:Anesthesia, General; D000777:Anesthetics / Q000008:administration & dosage*; D056805:Consciousness Monitors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D013517:Otorhinolaryngologic Surgical Procedures
D000777:Anesthetics