Yıl: 2019 Cilt: 34 Sayı: 4 Sayfa Aralığı: 380 - 386 Metin Dili: İngilizce DOI: 10.5222/MMJ.2019.99705 İndeks Tarihi: 07-12-2020

Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy

Öz:
Objective: The aim of this study is to investigate the effects of bispectral index-controlled use of magnesium on propofol consumption, periprocedural hemodynamic response and patient comfort.Material: A total of 60 patients were enrolled in the study. In Group 1 (magnesium), a single dose 50 mg/kg magnesium sulfate diluted with 100 mL 0.9% NaCl was administered 10 min-utes before the beginning of the procedure. Initially bolus dose of 0.5 mg/kg propofol was ap-plied. The maintenance dose of propofol was 60 mcg/kg/min. During the procedure, the propo-fol infusion was increased by titration until the bispectral index (BIS) value of 70 was achieved. In Group 2 (saline), 100 ml 0.9% NaCl was administered 10 minutes before the beginning of the procedure. The bolus and maintenance doses of propofol, and target BIS values were the same as those in Group 1.Results: When BIS values were compared between the groups, the initial BIS values in the magnesium group (Group 1) were significantly higher than those of the saline group (Group 2) (p<0.05). The time to reach BIS 70 was significantly shorter in the magnesium group (p<0.05). Propofol consumption was greater in Group 2 than in Group 1 (p<0.05). The time to reach BIS 70 was significantly shorter in Group 1 (p<0.05). No significant difference was found between the groups in terms of patient- and endoscopist-satisfaction (p<0.05).Conclusion: The use of magnesium in addition to propofol may be an efficient and reliable op-tion to reduce the drug consumption during colonoscopic interventions.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Shingina A, Ou G, Takach O, et al. Identification of fac-tors associated with sedation tolerance in 5000 pa-tients undergoing outpatient colonoscopy: Canadian tertiary center experience. World J Gastrointest Endosc. 2016;8(20):770-776. [CrossRef]
  • 2. Demiraran Y, Tamer A, Korkut E, et al. Comparison of the sedative effects of dexmedetomidine and midazolam in cases undergoing colonoscopy. Endoskopy. 2009;17:18-22.
  • 3. Kilgert B, Rybizki L, Grottke M, Neurath MF, Neumann H. Prospective long-term assessment of sedation-related ad-verse events and patient satisfaction for upper endoscopy and colonoscopy. Digestion. 2014;90:42-8. [CrossRef]
  • 4. Sonnenberg A. Sedation in Colonoscopy. Gastroenterol Hepatol (N Y). 2016;12:327-9.
  • 5. Regula J, Sokol-Kobielska E. Sedation in endoscopy: when and how. Best Pract Res Clin Gastroenterol. 2008;22(5):945-57. [CrossRef]
  • 6. Toklu S, Iyilikci L, Gonen C, et al. Comparison of etomi-date-remifentanil and propofol-remifentanil sedation in patients scheduled for colonoscopy. Eur J Anaesthesiol. 2009;26:370-6. [CrossRef]
  • 7. Yu YH, Han DS, Kim HS, et al. Efficacy of bispectral in-dex monitoring during balanced propofol sedation for colonoscopy: a prospective, randomized controlled trial. Dig Dis Sci. 2013;58:3576-83. [CrossRef]
  • 8. Odom MJ, Zuckerman SL, Mocco J. The role of magne-sium in the management of cerebral vasospasm. Neurol Res Int. 2013;2013:943914. [CrossRef]
  • 9. Altan A, Turgut N, Yildiz F, Türkmen A, Ustün H. Effects of magnesium sulphate and clonidine on propofol con-sumption, haemodynamics and postoperative recovery. Br J Anaesth. 2005;94:438-41. [CrossRef]
  • 10. Amer MM, Abdelaal Ahmed Mahmoud A, Abdelrahman Mohammed MK, Elsharawy AM, Ahmed DA, Farag EM. Effect of magnesium sulphate on bi-spectral index (BIS)values during general anesthesia in children. BMC Anes-thesiol. 2015;15:126. [CrossRef]
  • 11. Inadomi JM, Gunnarsson CL, Rizzo JA, Fang H. Projected increased growth rate of anesthesia professional-delivered sedation for colonoscopy and EGD in the United States: 2009 to 2015. Gastrointest Endosc. 2010;72:580-6. [CrossRef]
  • 12. Bilgi M, Tekelioglu UY, Sit M, et al. Comparison of the effects of bispectral index-controlled use of remifenta-nil on propofol consumption and patient comfort in pa-tients undergoing colonoscopy. Acta Gastroenterol Belg. 2015;78:314-8.
  • 13. Sieg A; bng-Study-Group, Beck S, Scholl SG, et al. Safety analysis of endoscopist-directed propofol sedation: a prospective, national multicenter study of 24 441 patients in German outpatient practices. J Gastroenterol Hepatol. 2014;29:517-23. [CrossRef]
  • 14. Friedrich K, Stremmel W, Sieg A. Endoscopist-adminis-tered propofol sedation is safe - a prospective evaluation of 10,000 patients in an outpatient practice. J Gastroin-testin Liver Dis. 2012;21:259-63.
  • 15. Thornley P, Al Beshir M, Gregor J, Antoniou A, Khanna N. Efficiency and patient experience with propofol vs con-ventional sedation: A prospective study. World J Gastro-intest Endosc. 2016;8:232-8. [CrossRef]
  • 16. Hsu WH, Wang SS, Shih HY, et al. Low effect-site con-centration of propofol target-controlled infusion reduces the risk of hypotension during endoscopy in a Taiwanese population. J Dig Dis. 2013;14:147-52. [CrossRef]
  • 17. Ye L, Xiao X, Zhu L. The Comparison of Etomidate and Propofol Anesthesia in Patients Undergoing Gastrointes-tinal Endoscopy: A Systematic Review and Meta-Analy-sis. Surg Laparosc Endosc Percutan Tech. 2017;27:1-7. [CrossRef]
  • 18. Olofsen E, Boom M, Nieuwenhuijs D, et al. Modeling the non-steady state respiratory effects of remifentanil in awake and propofol-sedated healthy volunteers. Anes-thesiology. 2010;112:1382-95. [CrossRef]
  • 19. Inadomi JM. Editorial: Endoscopic Sedation: Who, Which, When? Am JGastroenterol. 2017;112:303-305. [CrossRef]
  • 20. Johansen JW. Update on bispectral index monitoring. Best Pract Res Clin Anaesthesiol. 2006;20:81-99. [CrossRef]
  • 21. Akıncı SB, Çelebioğlu B. Bispektral indeks monitörizasyonu. J Turk Soc Intens Care. 2006;4:85-90.
  • 22. Gupta K, Vohra V, Sood J. The role of magnesium as an adjuvant during general anaesthesia. Anaesthesia. 2006;61:1058-63. [CrossRef]
  • 23. Lee DH, Kwon IC. Magnesium sulphate has beneficial ef-fects as an adjuvant during general anaesthesia for Cae-sarean section. Br J Anaesth. 2009;103:861-6. [CrossRef]
  • 24. Khafagy HF, Ebied RS, Osman ES, Ali MZ, Samhan YM. Perioperative effects of various anesthetic adjuvants with TIVA guided by bispectral index. Korean J Anesthesiol. 2012;63:113-9. [CrossRef]
  • 25. Olgun B, Oğuz G, Kaya M, et al. The effects of magne-sium sulphate on desflurane requirement, early recovery and postoperative analgesia in laparascopic cholecystec-tomy. Magnes Res. 2012;25:72-8. [CrossRef]
  • 26. Seyhan TO, Tugrul M, Sungur MO, et al. Effects of three different dose regimens of magnesium on propofol re-quirements, haemodynamic variables and postopera-tive pain relief in gynaecological surgery. Br J Anaesth. 2006;96:247-52. [CrossRef]
APA Yoldas H, Yildiz I, Karagoz I, Demirhan A, bilgi m, Sit M, ögün m (2019). Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. , 380 - 386. 10.5222/MMJ.2019.99705
Chicago Yoldas Hamit,Yildiz Isa,Karagoz Ibrahim,Demirhan Abdullah,bilgi murat,Sit Mustafa,ögün muhammed nur Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. (2019): 380 - 386. 10.5222/MMJ.2019.99705
MLA Yoldas Hamit,Yildiz Isa,Karagoz Ibrahim,Demirhan Abdullah,bilgi murat,Sit Mustafa,ögün muhammed nur Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. , 2019, ss.380 - 386. 10.5222/MMJ.2019.99705
AMA Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. . 2019; 380 - 386. 10.5222/MMJ.2019.99705
Vancouver Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. . 2019; 380 - 386. 10.5222/MMJ.2019.99705
IEEE Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m "Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy." , ss.380 - 386, 2019. 10.5222/MMJ.2019.99705
ISNAD Yoldas, Hamit vd. "Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy". (2019), 380-386. https://doi.org/10.5222/MMJ.2019.99705
APA Yoldas H, Yildiz I, Karagoz I, Demirhan A, bilgi m, Sit M, ögün m (2019). Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. Medeniyet Medical Journal, 34(4), 380 - 386. 10.5222/MMJ.2019.99705
Chicago Yoldas Hamit,Yildiz Isa,Karagoz Ibrahim,Demirhan Abdullah,bilgi murat,Sit Mustafa,ögün muhammed nur Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. Medeniyet Medical Journal 34, no.4 (2019): 380 - 386. 10.5222/MMJ.2019.99705
MLA Yoldas Hamit,Yildiz Isa,Karagoz Ibrahim,Demirhan Abdullah,bilgi murat,Sit Mustafa,ögün muhammed nur Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. Medeniyet Medical Journal, vol.34, no.4, 2019, ss.380 - 386. 10.5222/MMJ.2019.99705
AMA Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. Medeniyet Medical Journal. 2019; 34(4): 380 - 386. 10.5222/MMJ.2019.99705
Vancouver Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy. Medeniyet Medical Journal. 2019; 34(4): 380 - 386. 10.5222/MMJ.2019.99705
IEEE Yoldas H,Yildiz I,Karagoz I,Demirhan A,bilgi m,Sit M,ögün m "Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy." Medeniyet Medical Journal, 34, ss.380 - 386, 2019. 10.5222/MMJ.2019.99705
ISNAD Yoldas, Hamit vd. "Effects of Bispectral Index-controlled Use of Magnesium on Propofol Consumption and Sedation Level in Patients Undergoing Colonoscopy". Medeniyet Medical Journal 34/4 (2019), 380-386. https://doi.org/10.5222/MMJ.2019.99705