Effect of mild hypocapnia on hemodynamic and bispectral index responses to tracheal intubation during propofol anesthesia in children

Verfasser / Beitragende:
[Hyun Kwak, Ji Kim, Kyung Lee, Hong Kim, Jong Kim]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/1(2015-02-01), 29-33
Format:
Artikel (online)
ID: 605509654
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024 7 0 |a 10.1007/s10877-014-9564-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10877-014-9564-8 
245 0 0 |a Effect of mild hypocapnia on hemodynamic and bispectral index responses to tracheal intubation during propofol anesthesia in children  |h [Elektronische Daten]  |c [Hyun Kwak, Ji Kim, Kyung Lee, Hong Kim, Jong Kim] 
520 3 |a The purpose of this study was to investigate the effect of mild hypocapnia on hypertension and arousal response after tracheal intubation in children during propofol anesthesia. Forty-four children, American Society of Anesthesiologists physical status I-II patients, aged 3-9years were randomly allocated to either the normocapnia group [end-tidal carbon dioxide tension (ETCO2=35mmHg, n=22)] or the hypocapnia group (ETCO2=25mmHg, n=22). Anesthesia was induced with propofol 2.5mg/kg. Five minutes after the administration of rocuronium 0.6mg/kg, laryngoscopy was attempted. The mean arterial pressure (MAP), heart rate (HR), SpO2 and bispectral index (BIS) were measured during induction and intubation periods. The maximal change in the BIS with tracheal intubation (ΔBIS) was defined as the difference between the baseline value and the maximal value within the first 5min after intubation. Before tracheal intubation, the change in BIS over time was not different between the groups. After tracheal intubation, the changes in the MAP, HR and BIS over time were not significantly different between the groups. The mean value±SD of ΔBIS was 5.7±5.2 and 7.4±5.5 in the normocapnia and hypocapnia groups, respectively, without any intergroup difference. This study showed that mild hypocapnia did not attenuate hemodynamic and BIS responses to tracheal intubation in children during propofol anesthesia. Our results suggested that hyperventilation has no beneficial effect on hemodynamic and arousal responses to tracheal intubation in children. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Bispectral index  |2 nationallicence 
690 7 |a Hypocapnia  |2 nationallicence 
690 7 |a Tracheal intubation  |2 nationallicence 
700 1 |a Kwak  |D Hyun  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
700 1 |a Kim  |D Ji  |u Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Kyung  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
700 1 |a Kim  |D Hong  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
700 1 |a Kim  |D Jong  |u Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, San 5, Wonchon-dong, Yeongtong-gu, 443-721, Suwon, Korea  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/1(2015-02-01), 29-33  |x 1387-1307  |q 29:1<29  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-014-9564-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-014-9564-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kwak  |D Hyun  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Ji  |u Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Kyung  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Hong  |u Department of Anesthesiology and Pain Medicine, Gil Medical Center, Gachon University, Incheon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Jong  |u Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, San 5, Wonchon-dong, Yeongtong-gu, 443-721, Suwon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/1(2015-02-01), 29-33  |x 1387-1307  |q 29:1<29  |1 2015  |2 29  |o 10877