Consumption of Cisatracurium in different age groups, using a closed loop computer controlled system.
Consumption of Cisatracurium in different age groups, using a closed loop computer controlled system.
复制标题
使用闭环计算机控制系统，不同年龄组的顺阿曲库铵消耗量
DOI：
10.1186/1471-2253-14-29
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发表时间：
2014
影响因子：
2.2
通讯作者：
Wang G
中科院分区：
文献类型：
--
作者：
Joomye S;Yan D;Wang H;Zhou G;Wang G
BackgroundWe devised this study to quantify the effect of age on the consumption of cisatracurium under general anaesthesia, using a computer controlled closed loop infusion system. We further investigated this effect on, sufentanil and propofol consumption.Methods74 patients of physical status I and II, requiring general anaesthesia for elective abdominal surgery, were assigned to three groups. Patients in group 1 were aged from 20 to 45, group 2 were from 46 to 64, and group 3 above 65 years old. General Anesthesia was maintained with propofol and muscle paralysis was maintained using a closed-loop computer controlled infusion of cisatracurium. For analgesia, intermittent bolus of sufentanil 10 μg was given.ResultsCisatracurium consumption in group 1, 2 and 3 were 1.8 ± 0.3, 1.6 ± 0.4 and 1.3 ± 0.4 μg/kg/min respectively. There was significant difference of cisatracurium consumption between group 1 and 3 (P = 0.002), and the consumption of cisatracurium in group 3 was less as compared with group 2 (P = 0.04). The average recovery index of patients in group 1, 2 and 3 were 8.8 ± 2.6, 11.5 ± 2.9 and 12.7 ± 2.5 minutes respectively. There were difference between group 1 and 2 (P = 0.02). As compared with group 1, the recovery index was still longer in group 3 (P = 0.001). Patients in group 1, 2 and 3 consumed an average sufentanil 0.4 ± 0.1, 0.4 ± 0.1 and 0.3 ± 0.1 μg/kg/hr, respectively. There were statistical significant between group 1 and 3 (P < 0.0001), and the same trend was found between group 2 and 3 (P = 0.03). The Consumption of propofol in group 1, 2 and 3 were 5.1 ± 0.4, 4.3 ± 0.6 and 3.1 ± 0.5 mg/kg/hr. The difference in the propofol consumption was found statistically significant when comparing between any two groups.ConclusionWe concluded that the sensitivity of anesthetic agents increased with age. Less medication was required to achieve a desirable effect in older patients specially those above 65 years of age, and the drug effect was prolonged.Trial registrationClinicalTrials.gov Identifier: NCT01785446 .
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DOI：
10.1023/a:1016922427750
发表时间：
1996-11-01
期刊：
INTERNATIONAL JOURNAL OF CLINICAL MONITORING AND COMPUTING
影响因子：
--
作者：
Mason, DG;Linkens, DA;Reilly, CS
通讯作者：
Reilly, CS
DOI：
10.1016/s1521-6896(03)00002-8
发表时间：
2003-06-01
期刊：
Best practice & research. Clinical anaesthesiology
影响因子：
--
作者：
Sadean, Mihai R;Glass, Peter S A
通讯作者：
Glass, Peter S A
影响因子：
3.6
作者：
Vimlati, Laszlo;Gilsanz, Fernando;Goldik, Zeev
通讯作者：
Goldik, Zeev
影响因子：
9.8
作者：
WARD, S;BOHEIMER, N;DOPSON, TA
通讯作者：
DOPSON, TA
影响因子：
8.8
作者：
Schnider, TW;Minto, CF;Youngs, EJ
通讯作者：
Youngs, EJ