SmartPilot® view-guided anaesthesia improves postoperative outcomes in hip fracture surgery: a randomized blinded controlled study

Abstract

NCT 02556658.

Evaluating the role of Smartpilot® view assisted target-controlled infusion anesthesia during intracranial mass surgery: A comparative retrospective study with bispectral index-guided standard anesthesia

“…The SmartPilot ® View graphically depicts the interaction of hypnotic and analgesic drugs with isoboles and uses NSRI to measure the depth of anesthesia. Another benefit of SPV is that it displays the current depth of anesthesia as well as the expected level for the next 10 minutes [8,10]. When opioids and intravenous anesthetics are co-administered for anesthesia maintenance, fifty percent probability to tolerate laryngoscopy (TOL 50) is equal to NSRI 50, and ninety percent probability to tolerate laryngoscopy (TOL 90) is equal to NSRI 20.…”

“…Leblanc et al [10] examined the effect of SPV on postoperative results in patients undergoing hip fracture surgery compared with standard anesthesia administration, assuming that the use of SPV in older patients may be particularly advantageous. Patients in the SPV group had better postoperative outcomes, including a shorter hospital stay [10]. Although our study showed a reduction in anesthetic consumption, the consequences on patient outcomes, postoperative mortality, and morbidity were not studied.…”

“…Complex pharmacological models can be depicted in clinical practice using this innovative technology. SmartPilot ® View allows for more precise anesthetic titration for the specified therapeutic goals, making intraoperative decisionmaking easier [8,10]. Even though there is few research on SPV in the literature, current studies demonstrate that SPV-guided anesthesia enhances anesthetic management and is related with improved anesthesia quality [8,10].…”

Norepinefrina o etilefrina en tratamiento de hipotensión arterial intraoperatoria para artroplastía total de cadera

“…Podemos indicar que el uso de noradrenalina en infusión continua demuestra estabilidad en las presiones arteriales medias durante todo el procedimiento quirúrgico. Así Leblanc y col 18 desarrollaron un Software SmarPilot® guiado, que reduce la duración de la hipotensión, las complicaciones postoperatorias y la estancia hospitalaria de los pacientes.…”

Simulation of residual sedation effect of remimazolam: pharmacokinetic–pharmacodynamic simulation can be an additional standard anesthesia monitoring method

“…SPVguided anesthesia enabled faster recovery of orientation (451 ± 100 s in the control group and 316 ± 57 s in the SPV group). Several similar clinical studies have used PK-PD simulation systems [5][6][7][8]. As these studies have examined the effects of reduced anesthetic use and shortened recovery time as outcomes, the use of PK-PD simulation systems could prevent delayed recovery due to drug accumulation from the clinical viewpoint.…”