A Randomized Comparative Study on Bispectral Index Monitoring on Early Postoperative Recovery In Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 3
Abstract
Introduction: Obesity has become a relatively common condition that has a tendency to profoundly affect morbidity and mortality. With an increase in the prevalence of obesity, the anaesthesiologists are challenged with these population of patients posted for surgery due to varies medical and surgical pathologies. Objective: The objective of this study was to evaluate the role of bispectral index (BIS) monitoring in recovery time in obese patients undergoing laparoscopic sleeve gastrectomy. Materials and Methods: A total of 80 patients of both sex aged between 25 and 45 years, posted for laparoscopic sleeve gastrectomy were randomized into two groups of 40 each (Group 1 – BIS and Group 2 – non-BIS group) using computer randomization. Time taken for recovery from anesthesia as noted by the mean time taken for awakening and the mean time taken for extubation along with the mean time to achieve a modified Aldrete score of ≥9 were recorded in minutes. Results: Between Groups 1 and Group 2, the mean awakening time (11.38 ± 2.807 and 14.92 ± 3.885 with P = 0.000), mean extubation time (15.90 ± 2.863 and 19.28 ± 4.120 with P = 0.000), and mean time to achieve modified Aldrete score ≥9 were (31.60 ± 3.862 and 40.80 ± 4.681 with P = 0.000), respectively. There was a statistically significant difference between the two groups in awakening time, extubation time, and modified Aldrete score. Conclusion: The present study had revealed that using BIS monitoring lead to early postoperative recovery of morbidly obese patients undergoing laparoscopic sleeve gastrectomy.
Authors and Affiliations
A Madhu Yadhav, S Dinesh Kumar, Malleswar Rao, K Bhaskaran
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