Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1

Gulhane Med J. 2012; 54(1): 14-22


Comparison of the neuroendocrine and hemodynamic effects of two different anesthetic techniques under bispectral index monitorization

Abdülkadir Atım, Murat Kuyumcu, Sibel Temür, Sezai Özkan, Merih Gökben.

Abstract
In this study we aimed to assess the effects of two different anesthesia induction techniques (Total intravenous anesthesia; TIVA) and (Volatile induction and maintenance anesthesia; VIMA) on autonomic and neuroendocrine stress response occurring after endotracheal intubation and skin incision. Sixty two ASA I-II patients aged between 18 to 55 years were included in the study. Cases were randomly divided into two groups of TIVA (propofol and remifentanyl; n=29) and VIMA (sevoflurane; n=33). Bispectral index monitorization was used to measure the depth of anesthesia. In both groups heart rate and mean arterial blood pressure were measured to assess autonomic response, and plasma concentrations of cortisol and noradrenaline were measured to assess hormonal response. Bispectral index values after endotracheal intubation and skin incision in both groups were within the levels suggested for a surgical intervention (45-60). Heart rate and mean arterial blood pressure decreased significantly in the TIVA group (p

Key words: Hemodynamics, neuroendocrine response, total intravenous anesthesia, volatile induction and maintenance anesthesia



Share this Article


Advertisement
Journal of Molecular Pathophysiology

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons