The Effects of Glasgow Coma Scales and Bispectral Index on General Anaesthesia in Neurosurgery Patients

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dc.contributor.authorCoker, Taygun
dc.contributor.authorSahin, Sevtap Hekimoglu
dc.contributor.authorSut, Necdet
dc.date.accessioned2024-06-12T10:54:45Z
dc.date.available2024-06-12T10:54:45Z
dc.date.issued2021
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: Monitorisation under anaesthesia is important for objective evaluation in intracranial surgery. We investigated general anaesthesia management performed by bispectral index (BIS) monitoring in patients who underwent surgery due to intracranial pathology with different Glasgow Coma Scales (GCS). Methods: Forty-five patients who had been planned to undergo intracranial surgery under general anaesthesia were included in the study. Patients were divided into three groups according to GCS: Group I (n = 15) = 13-15 mildly injured; Group II (n = 15) = 9-12 moderately damaged; Group III (n = 15) = 3-8 severely damaged. Heart rate (HR), mean blood pressure, and use of anaesthetic agent were recorded. Results: It was found that the consumption of the inhalation agent in Group III was lower than Groups I and II at all time intervals measured, and it was lower in Group II than Group I during the intervals at intraoperative 15th minute and up to 150th minute thereafter. The inhalation agent consumption rates according to the duration of anaesthesia were different between groups. The HR was significantly higher in Group III compared with Group II during the post-operative period. The mean arterial pressure was significantly lower in Group I than Group II pre-operatively and at 5th, 10th, 15th, 20th, and 40th minute intra-operatively, whilst it was significantly lower in Group I than Group III preoperatively and 10th minute and 15th minute, intraoperatively. Conclusion: We found that in patients whose GCS was severely damaged and underwent intracranial surgery under general anaesthesia with BIS monitoring, the consumption of inhalation anaesthetic agent decreased, but opioid consumption did not change.en_US
dc.identifier.doi10.5152/TJAR.2021.587
dc.identifier.endpage237en_US
dc.identifier.issn2667-6370
dc.identifier.issue3en_US
dc.identifier.pmid35110143en_US
dc.identifier.scopus2-s2.0-85109373686en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage230en_US
dc.identifier.trdizinid451433en_US
dc.identifier.urihttps://doi.org/10.5152/TJAR.2021.587
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/451433
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19167
dc.identifier.volume49en_US
dc.identifier.wosWOS:000686223300006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal Of Anaesthesiology And Reanimationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBispectral Indexen_US
dc.subjectGlasgow Coma Scaleen_US
dc.subjectIntracranial Pathologyen_US
dc.subjectRecoveryen_US
dc.subjectDepthen_US
dc.subjectCosten_US
dc.subjectBisen_US
dc.titleThe Effects of Glasgow Coma Scales and Bispectral Index on General Anaesthesia in Neurosurgery Patientsen_US
dc.typeArticleen_US

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