Recently, a new software program for anesthesia has been developed, called Smart Pilot View. This program monitors the patient, the anesthetic drugs given, and the calculated depth of the anesthesia. The purpose of this study is to determine whether the use of this program improves the quality of anesthesia.
Study Type
OBSERVATIONAL
Enrollment
400
University Medical Center Groningen (UMCG)
Groningen, Netherlands
University Hospital of Bern
Bern, Switzerland
Anesthesia Quality Score
Anesthesia Quality Score (AQS) is defined as the percentage of time the BIS is within the range of 40-60 AND the mean arterial pressure is within the range of 60-80 mmHg.
Time frame: up to 1 week From start of induction until discharge from post-anesthesia care unit (PACU)
Total anesthetic drug doses
Time frame: up to 1 week From start of induction until discharge from post-anesthesia care unit (PACU)
Mean intra-operative Noxious Stimulation Response Index (NSRI)
The Noxious Stimulation Response Index (NSRI) is based on a hierarchical interaction propofol-remifentanil model. With this model, the predicted propofol and remifentanyl concentrations can make a prediction about a respons to a certain stimulus, such as shaking and shouting, or a noxious stimulus.
Time frame: 1 day During surgery (until skin closure)
Number of doses of vasoactive substances
The number of doses of vasoactive substances given to maintain an adequate perfusion pressure.
Time frame: up to 1 week From start of induction until discharge from post-anesthesia care unit (PACU)
Number of events with motor and vegetative (tearing, sweating) responses
The total number of events in which the patient displays vegetative reactions such as tearing and sweating, in respons to a noxious stimulus during surgery.
Time frame: up to 1 week From start of induction until discharge from post-anesthesia care unit
Recovery times (skin closure to extubation; skin closure to orientation)
The time it takes for the patient to recover from anesthesia: the time from skin closure until the patient is sufficiently awake to be extubated, and the time from skin closure until full orientation of the patient.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: up to 1 week From end of surgery (skin closure) until discharge from post-anesthesia care unit (PACU)
Early postoperative pain control measured by visual analog scale and total morphine dose
Assess the adequacy of pain control during the early postoperative stage, measured by the visual analog scale and the total dose of morphine immediately postoperatively and during PACU stay.
Time frame: up to 1 day From end of surgery (skin closure) until discharge from post-anesthesia care unit (PACU)
Workload of anesthesist, measured by the NASA Taskload Index
Assess the workload the anesthetist experiences while working with the Smart Pilot View
Time frame: up to 1 day From start of induction until transportation to PACU