THE BENEFIT OF ENTROPY IN THE MANAGEMENT OF GENERAL ANAESTHESIA FOR THE PATIENTS WITH METABOLIC DISORDERS

This study shows the role of entropy in general anaesthesia for the patient and the hospital in order to reduce the need for volatile gases (sevoflurane), but also of hypnotic and opioids, bringing major benefits to the patient, and the economy of the hospital significantly reducing the costs of anaesthesia and the number of days spent in the hospital, also avoiding postoperative complications related to anaesthesia. We conducted a study over half a year (2018) for 30 patients who need general anaesthesia from a total of 1536 patients available within the host institution, and meet the inclusion criteria for monitoring the entropy, patients who were subsequently divided into 3 study groups: 10 patients in group 1 (patients with metabolic disorders obesity and/or diabetes mellitus), 10 in the group 2 (without metabolic disorders) and 10 in the control group 3 (patients under general anaesthesia without monitoring entropy). In this study we have shown that entropy reduces the use of intrasurgical anaesthetics in patients with metabolic disorders (diabetes and/or obesity) with almost 20% compared with the control group, so entropy provided them with a reduction of the need for anaesthetics and a much faster postoperative awakening, diminishing the number of hospitalization days for these patients, greatly reducing postoperative costs and complications due to comorbidities.