Comparison of the effects of bispectral index-controlled use of remifentanil on propofol consumption and patient comfort in patients undergoing colonoscopy

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dc.authorid0000-0002-1630-2033en_US
dc.authorid0000-0003-4139-5080
dc.authorid0000-0002-2311-6431
dc.authorid0000-0002-0363-9307
dc.contributor.authorBilgi, Murat
dc.contributor.authorTekelioğlu, Ümit Yaşar
dc.contributor.authorŞit, Mustafa
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorAkkaya, Akcan
dc.contributor.authorYıldız, İsa
dc.contributor.authorKoçoğlu, Hasan
dc.date.accessioned2021-06-23T19:42:00Z
dc.date.available2021-06-23T19:42:00Z
dc.date.issued2015
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground and study aims : In endoscopic procedures, propofol can be safely administered either alone or in conjunction with remifentanil. The aim of the study is to compare the effects of the administration of propofol alone and the administration of remifentanil in addition to propofol on patient and endoscopist satisfaction, preoperative hemodynamic response, and propofol consumption. Materials and methods : A totally 60 patients were enrolled in the study. Propofol group (Group 1) : A 0.4-mg/kg propofol bolus and 1 mg/kg/h maintenance infusion of propofol until a bispectral Index-value of 70-75 was achieved. Propofol + remifentanil group (Group 2) received a 0.4 mg/kg propofol bolus dose and maintained with a 0.5 mg/kg/h infusion of propofol + 0.2 mcg/kg/min infusion of remifentanil. The infusion dose of remifentanil was maintained, and the propofol infusion dose was titrated until a BIS value of 7075 was achieved. Results : In Group 1 (colonoscopic intervention 1 and 5 min) and Group 2 (colonoscopic intervention 10 min.), main blood pressure (MBP) value has a significant decrease. Hypotension occurred in 6 patients in group 1, while 12 patients in group 2. No significant difference was found between the Patient's endoscopist' satisfaction, MBP and heart rate. Propofol consumption was greater in group 1 than in group 2. When the Ramsay sedation levels of Group 1 and Group 2 were compared, a statistically significant difference was observed. Conclusion : The addition of remifentanil to propofol may be an alternative to the use of alone propofol for sedation in colonoscopic interventions.en_US
dc.identifier.endpage318en_US
dc.identifier.issn1784-3227
dc.identifier.issue3en_US
dc.identifier.pmid26448413en_US
dc.identifier.scopus2-s2.0-84944727697en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage314en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8282
dc.identifier.urihttps://www.ageb.be/Articles/Volume%2078%20(2015)/Fasc3/08-Bilgi_et_al.pdf
dc.identifier.volume78en_US
dc.identifier.wosWOS:000367652700008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBilgi, Murat
dc.institutionauthorTekelioğlu, Ümit Yaşar
dc.institutionauthorŞit, Mustafa
dc.institutionauthorDemirhan, Abdullah
dc.institutionauthorAkkaya, Akcan
dc.institutionauthorYıldız, İsa
dc.institutionauthorKoçoğlu, Hasan
dc.language.isoenen_US
dc.publisherUniv Catholique Louvain-Uclen_US
dc.relation.ispartofActa Gastro-Enterologica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPropofolen_US
dc.subjectRemifentanilen_US
dc.subjectColonoscopyen_US
dc.subjectSedationen_US
dc.subjectPatient Satisfactionen_US
dc.titleComparison of the effects of bispectral index-controlled use of remifentanil on propofol consumption and patient comfort in patients undergoing colonoscopyen_US
dc.typeArticleen_US

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