Correlation of Surgical Pleth Index with Stress Hormones during Propofol-Remifentanil Anaesthesia

被引:27
作者
Chen, Xinzhong [1 ,2 ]
Thee, Carsten [2 ]
Gruenewald, Matthias [2 ]
Ilies, Christoph [2 ]
Hoecker, Jan [2 ]
Hanss, Robert [2 ]
Steinfath, Markus [2 ]
Bein, Berthold [2 ]
机构
[1] Zhejiang Univ, Dept Anaesthesia, Womens Hosp, Sch Med, Hangzhou 310058, Zhejiang, Peoples R China
[2] Univ Hosp Schleswig Holstein, Dept Anaesthesiol & Intens Care Med, D-24105 Kiel, Germany
关键词
GENERAL-ANESTHESIA; SEVOFLURANE ANESTHESIA; CONTROLLED-TRIAL; SKIN INCISION; HEART-RATE; SURGERY; DEPTH; ENDOCRINE; RESPONSES; ENTROPY;
D O I
10.1100/2012/879158
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Eighty patients undergoing elective ear-nose-throat surgery were enrolled in the present study to investigate the relationship between surgical pleth index (SPI) and stress hormones (ACTH, cortisol, epinephrine, norepinephrine) during general anaesthesia which was induced and maintained with propofol and remifentanil using a target-controlled infusion. The study concluded that the SPI had moderate correlation to the stress hormones during general anaesthesia, but no correlation during consciousness. Furthermore, SPI values were able to predict ACTH values with high sensitivity and specificity.
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页数:8
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