Total intravenous anesthesia in a closed loop system: Report of the first case in Colombia

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dc.citation.journalTitleRevista Colombiana De Anestesiologia
dc.contributor.authorOquendo, F.J.G.
dc.contributor.authorArroyave, F.D.C.
dc.contributor.authorFernández, J.M.
dc.contributor.authorGrisales, A.G.
dc.contributor.departmentUniversidad EAFIT. Departamento de Ingeniería de Producciónspa
dc.contributor.researchgroupGrupo en Tecnologías para la Producciónspa
dc.creatorOquendo, F.J.G.
dc.creatorArroyave, F.D.C.
dc.creatorFernández, J.M.
dc.creatorGrisales, A.G.
dc.date.accessioned2021-04-12T20:31:00Z
dc.date.available2021-04-12T20:31:00Z
dc.date.issued2013-10-01
dc.description.abstractTotal intravenous anesthesia is a widely used technique that relies on the use of intravenous anesthetics, propofol being the most frequently used and studied. At present, there are pharmaceutical and pharmacokinetic tools that are used to generate mathematical models to ensure the safe and moderately effective use of this technique. However, the depth of anesthesia is determined purely on the clinical findings and this requires neurological monitoring such as the bi-spectral index (BIS) in order to correlate the data derived from the pharmacokinetic models used for the administration of the anesthetic with the determination of its desired clinical effect. We designed an operating system for automated control of the propofol infusion that provides feedback on the basis of the data generated by the BIS monitor. The system is programmed to increase or decrease the propofol infusion within a specific BIS range and, consequently, in accordance with the needs of the individual patient. We describe anesthetic management using this technique in a female patient taken to surgery for prosthetic mammary implantation under general anesthesia at the University Hospital. An intraoperative record was generated including the depth of anesthesia and its action on propofol concentration at the effective site using the automated administration and control system. We concluded that the use of closed-loop total intravenous anesthesia under neurologic monitoring is the next step in the evolution of this technique. It is less reliant on the pharmacokinetic models available at present, and is better suited to adapt to the specific needs of individual patients and to the type of surgical intervention. © 2012 Sociedad Colombiana de Anestesiología y Reanimación. Published by Elsevier España, S.L. All rights reserved.eng
dc.identifierhttps://eafit.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2032
dc.identifier.doi10.1016/j.rca.2013.05.003
dc.identifier.issn1203347
dc.identifier.issn22562087
dc.identifier.otherSCOPUS;2-s2.0-84893285347
dc.identifier.urihttp://hdl.handle.net/10784/28539
dc.language.isospa
dc.publisherSociedad Colombiana de Anestesiología y Reanimación
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84893285347&doi=10.1016%2fj.rca.2013.05.003&partnerID=40&md5=5d6668e42bfca3e1eae05ce671779f0c
dc.rightshttps://v2.sherpa.ac.uk/id/publication/issn/0120-3347
dc.sourceRevista Colombiana De Anestesiologia
dc.subjectAnalgesics; Anesthesia; Hypnosis; Morphine; Opioid; Propofol
dc.subject.keywordAnalgesicseng
dc.subject.keywordAnesthesiaeng
dc.subject.keywordHypnosiseng
dc.subject.keywordMorphineeng
dc.subject.keywordOpioideng
dc.subject.keywordPropofoleng
dc.titleTotal intravenous anesthesia in a closed loop system: Report of the first case in Colombiaeng
dc.typeinfo:eu-repo/semantics/articleeng
dc.typearticleeng
dc.typeinfo:eu-repo/semantics/publishedVersioneng
dc.typepublishedVersioneng
dc.type.localArtículospa

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