Articles Vol. 65 No. CĐ 9 - Hội Gây mê Hồi sức 26/09/2024

28. THE VARIATION OF SOME ANESTHETIC MONITORING PARAMETERS IN DESFLURAN ANESTHESIA UNDER THE GUIDANCE OF BISPECTRAL INDEX FOR KIDNEY TRANSPLANTATION

Nguyen Quang Truong1,2, Nguyen Minh Ly1,2, Tong Xuan Hung1,2, Nguyen Trong Canh1,2, Vu Thi Vinh1,2, Nguyen Thi Huyen1,2
1 108 Military Central Hospital
2 Bệnh viện Trung ương Quân đội 108
Corresponding author: Nqtruongb5108@gmail.com
DOI: 10.52163/yhc.v65iCD9.1542
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Keywords
Bispectral index system Desfluran kidney transplantation
Abstract

Objective: Evaluate the changes of MAC, Et-Desfluran, Fi-Desfluran in Desfluran anesthesia under the guidance of Bispectral index for kidney transplantation from living donors.

Subjects and methods: 50 patients scheduled for kidney transplantation from living donors under endotracheal anesthesia, and control anesthesia concentration by Et-Control with Desfluran achieved BIS within the range of 40-60. Assess changes in MAC, Fi-Desfluran, Et-Desfluran, heart rate, mean blood pressure, CVP, SpO2 at the time points after 15 minutes of intubation, skin incision, iliac artery clamping, 10 minutes after reperfusion, skin closure and amount of anesthetic consumed, recovery time, extubation time and some side effects after anesthesia.

Results: The highest MAC, Fi-Desfluran, Et-Desfluran values at the time of skin incision were 0.67 ± 0.13; 5.3 ± 0.8%; 5.2 ± 0.9% respectively, the lowest at 10 minutes after reperfusion, respectively 0.44 ± 0.12; 3.1 ± 0.4%; 2.7 ± 0.5%, the average Desfluran anesthetic volume was 13.1 ± 2,1 ml/hour, average recovery time is 5.65 ± 2.4 minutes, average extubation time is 8.7 ± 2.6 minutes.

Conclusion: During anesthesia for kidney transplantation from living donors, parameters
include: MAC, Fi-Desfluran, Et-Desfluran, BIS is highest at the time of skin incision, lowest at the time after 10 minutes of reperfusion, the average volume of Desfluran anesthetic used was 13.1 ± 2.1 ml/hour, recovery time was 5.65 ± 2.4 minutes, extubation time was 8.7 ± 2.6 minutes.

References
[1]
Trương Hoàng Minh, Kết quả ghép thận ở bệnh nhân chạy thận nhân tạo chu kỳ và thẩm phân phúc mạc trước mổ ghép tại Bệnh viện nhân dân 115, Tạp chí Y học Việt Nam, 2023, 520(2), 36-39. Google Scholar
[2]
Phạm Minh Sơn, Chất lượng cuộc sống của người bệnh ghép thận đang điều trị tại Bệnh viện Chợ Rẫy và các yếu tố liên quan, TNU Journal of Science and Technology, 2024, 229.05: 27-34. Google Scholar
[3]
Nguyễn Thị Hòa, So sánh tác dụng duy trì mê của Desfluran với Sevofluran trong gây mê để phẫu thuật cột sống thắt lưng tư thế nằm sấp, Tạp chí Y học Việt Nam, 2023, 525(2), 185-189. Google Scholar
[4]
Trịnh Thị Yến, Đánh giá tác dụng lên độ mê và chất lượng hồi tỉnh của Desfluran trong phẫu thuật u não, Luận văn bác sỹ chuyên khoa II, Google Scholar
[5]
Trường Đại học Y Hà Nội, 2020. Google Scholar
[6]
Jakobsson J, Desflurane: A clinical update of a third‐generation inhaled anaesthetic, Acta Anaesthesiologica Scandinavica, 2012, 56(4), 420-432. Google Scholar
[7]
Schmid Sebastian, Jungwirth Bettina, Anaesthesia for renal transplant surgery an update, European Journal of Anaesthesiology, 2012, 29(12):552-558. Google Scholar
[8]
Wu Yun, Jin Shiyun, Zhang Lei, Cheng Jie, Hu Xianwen, Chen Hong, Zhang Ye, Minimum Alveolar Concentration-Awake of Sevoflurane Google Scholar
[9]
Is Decreased in Patients With End-Stage Renal Disease, Anesthesia & Analgesia, 2019, 128(1): p 77-82. Google Scholar
[10]
Fandino Wilson, Understanding the physiological changes induced by mannitol: from the theory to the clinical practice in neuroanaesthesia, Journal of Neuroanaesthesiology and Critical Care, 2017, 4.03: 138-146. Google Scholar
[11]
Sripriya R, Ravindran Charulatha, Murugesan Ravishankar, Comparison of recovery characteristics with two different washout techniques of Desflurane anaesthesia: A randomised controlled Google Scholar
[12]
trial, Indian Journal of Anaesthesia, 2020, 64(9): 756-761. Google Scholar