THE EFFECT OF USING BISPECTRAL INDEX MONITORING ON THE AMOUNT OF
PROPOFOL USED DURING TRANSVAGINAL OOCYTE RETRIEVAL PROCEDURE: A
PROSPECTIVE, RANDOMIZED, CONTROLLED, CLINICAL TRIAL
Abstract
Objective: To investigate whether the use of bispectral index
(BIS) monitoring would decrease total propofol consumption during the
transvaginal oocyte retrieval procedure Design: Prospective,
randomized, controlled, parallel-group clinical trial Setting:
Operating room, postoperative recovery room Population: One
hundred and thirty, American Society of Anesthesiologists (ASA) I-II
patients, over age 18, undergoing transvaginal oocyte retrieval
Methods: All patients were administered 2μg/kg fentanyl, and
2mg/kg propofol for the induction of anesthesia. The patients were
divided into two groups. Patients in the group bolus were given 0.5
mg/kg of propofol when necessary, according to the observer’s range of
motion. Patients in the group BIS were given 10 mg/kg/hour propofol
infusion adjusted to keep the BIS value between 40-60. Main
Outcome Measures: The primary outcome was the total dose of propofol
administered per patient. The secondary outcomes were the time to reach
the value of 5 on the Modified Observer’s Assessment of Alertness
Sedation Scale (MOASs), the time to reach Post Anesthetic Discharge
Scoring System (PADSS) ≥9 of the patients, satisfaction of the patient,
and the gynecologist. Results: The amount of total propofol was
higher in the group BIS than in the group bolus administered according
to the patient’s clinic. There was no difference in the time to reach
the value of 5 on the MOASs between the groups. The time to reach PADSS
≥9 was longer in the group BIS than in the group bolus. There was no
difference between the two groups in terms of the satisfaction of the
patient and the gynecologist. Conclusion: Administration of
propofol as an infusion with BIS monitoring did not reduce the amount of
propofol administered to patients during transvaginal oocyte retrieval.
Funding: This research did not receive any specific grants from
funding agencies in the public, commercial, or not-for-profit sectors.