Effect site concentrations of propofol producing hypnosis in children and adults

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dc.contributor.authorMunoz, H. R.
dc.contributor.authorCortinez, L. I.
dc.contributor.authorIbacache, M. E.
dc.contributor.authorLeon, P. J.
dc.date.accessioned2025-01-21T01:06:02Z
dc.date.available2025-01-21T01:06:02Z
dc.date.issued2006
dc.description.abstractBackground: No study has determined the concentration of propofol producing a degree of hypnosis compatible with anaesthesia in children. As a result, concentrations determined in adults are recommended for children. As this can result in an inadequate depth of anaesthesia, we determined the predicted effect site concentration (C-e) of propofol necessary to obtain a bispectral index (BIS) of 50 in 50% (ECe50) of children and adults.
dc.description.abstractMethods: Twenty adults (aged 33-44 years) and 20 children (aged 3-11 years) undergoing surgery under general anaesthesia were studied. All were monitored with a BIS monitor, and a target controlled infusion of propofol aiming for a constant C-e value was started. After 10 min, patients were evaluated using a sedation scale, and the last 5 min was used to determine the mean BIS for this C-e value. The C-e value of propofol was defined using the up-and-down method of Dixon and Massey. The first patient in each group received C-e = 6 mu g/ml; thereafter, it was modified in 0.5 mu g/ml decrements/increments with positive or negative responses, respectively. A positive response was BIS < 50 and a negative response was BIS >= 50. The ECe50 value was compared using unpaired Student's t-test. The prediction probability (P-K) was used to study the association between BIS and the sedation score.
dc.description.abstractResults: The mean ECe50 (95% confidence interval) values were 3.75 mu g/ml (2.97-4.75 mu g/ml) in adults and 3.65 mu g/ml (3.36-3.96 mu g/ml) in children (not significant). All patients with BIS < 50 were unarousable with tactile stimulation. The P-K value was 0.99 in both groups.
dc.description.abstractConclusion: The predicted C-e value of propofol resulting in BIS = 50 was similar in adults and children aged 3-11 years. The predicted C-e value of propofol producing hypnosis in adults also seems to be useful in this paediatric population.
dc.fuente.origenWOS
dc.identifier.doi10.1111/j.1399-6576.2006.01062.x
dc.identifier.issn0001-5172
dc.identifier.urihttps://doi.org/10.1111/j.1399-6576.2006.01062.x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/96073
dc.identifier.wosidWOS:000238878700017
dc.issue.numero7
dc.language.isoen
dc.pagina.final887
dc.pagina.inicio882
dc.revistaActa anaesthesiologica scandinavica
dc.rightsacceso restringido
dc.subjectdepth of anaesthesia
dc.subjectmonitoring
dc.subjectpaediatric anaesthesia
dc.subjectpropofol
dc.titleEffect site concentrations of propofol producing hypnosis in children and adults
dc.typeartículo
dc.volumen50
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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