Table 7: Summary of Findings From Studies Reporting on the Effectiveness of BIS Monitors To Reduce Recovery Time* (cont).
Study (year) |
Basar et al. (2003) (40) | Wong et al. (2002) (31) | Bannister et al. (2001) (41) | Pavlin et al. (2001) (42) |
---|---|---|---|---|
Recovery time | There were no significant differences between groups in the time to open eyes on command (P= .12) and the time to motor response after being given a command (P =.09). | There was a trend toward faster discharge from the PACU in the BIS group, but this did not reach statistical significance. The mean time to orientation was faster in the BIS group (9.5 [SD, 3] vs. 13.1 [SD, 4], (P<.001). | 0–6 months: Because of the difficulties associated with achieving target BIS values, early discontinuation of anesthetic agents was required; therefore, the measurements are not valid. 6 months– 3 years: No differences in recovery measures. 3–18 years: Patients in the BIS group were ready for discharge from the PACU significantly earlier than those in the SP group (P<.05). Time differences varied from 25% to 40%. | Total mean recovery duration, minutes (SD) Men: BIS: 147 (56) SP: 166 (73) (P<.035) Women: BIS: 166 (61) SP: 156 (59) (P =.24) Conclusion: Overall, there were no significant trends during the study for mean BIS values, mean end-tidal sevoflurane concentrations, or duration of recovery. The authors noted this suggests there were no significant changes in the management of patients over time within the institution. |