The Effect of Smartpilot® View, A New Decision Support System on Recovery and Anesthetic Consumption in Spinal Surgery: A Retrospective Study

Inan, Gozde; Emmez, Gökçen; Pampal, Hasan Kutluk; Şatirlar, Zerrin Özköse

doi:10.5222/jarss.2021.66588

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…Although Adequacy of Anesthesia (AoA) monitoring did not lead to a reduction in the occurrence of unwanted events, it did produce a reduction in the amount of medications used and helped accelerate recovery [26,27]. Similarly, the use of Smart Pilot View (SPV) improved recovery and drug consumption [28,29]. Post-operative recovery time was significantly lower in the pupillometer group when compared with the RSS group.…”

Section: Discussionmentioning

confidence: 99%

Effect of the using a pupillometer on recovery and early cognitive functions in anesthesia management for endoscopic retrograde cholangiopancreaticography in geriatric patients

et al. 2023

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Background/Aim: Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure used for the diagnosis and treatment of pancreaticobiliary pathologies. Because it is an invasive procedure that is difficult to tolerate by the patient and takes a long time, it is preferable to use it under deep patient sedation and even under general anesthesia in some cases. This study aimed to evaluate the effects of using a pupillometer versus the Ramsey sedation scale (RSS) during anesthesia management for ERCP on recovery and return of cognitive functions in the geriatric patient population. Methods: A mini-mental test was applied to evaluate the pre-operative cognitive functions of the cases before the intervention. The included patients were divided into groups using the sealed-envelope method. Management of the depth of anesthesia was evaluated by Ramsey sedation scale; in group R and was evaluated by pupillometer in group P. The infusion dose of dexmedetomidine was changed to 0.1 µg/kg/h according to the results of the evaluation. Results: Sixty cases were included in the study. No difference between the groups in terms of age (P=0.246), gender (P=0.797), American Society of Anesthesiologists (ASA) score (P=0.197), comorbidity (P=0.748), anesthesia duration (P=0.397), midazolam doses (P=0.561), propofol doses (P=0.677), and intra-operative hemodynamic values (P=0.668) were found. Intra-operative dexmedetomidine dose was statistically significantly lower (P=0.004), and recovery was faster in group P (P<0.001). While no differences between the groups in the pre-operative mini-mental test scores (P=0.140) were found, the post-operative scores were statistically significantly lower in group R (P=0.025). Conclusion: In this study, it was observed that the pupillometer led to a reduction in the use of dexmedetomidine and cognitive functions were better during the post-operative recovery period. As a result, depth of anesthesia can be monitored with a pupillometer. Although the use of pupillometer in endoscopic interventions in the geriatric patient group does not make a hemodynamic difference when compared with the RSS, the pupillometer leads to accelerated recovery from anesthesia, improvement in the return of cognitive functions, and reduction in drug consumption.

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Section: Discussionmentioning

confidence: 99%