Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis
Background and Objective. The Bispectral Index (BIS) is utilized to guide the depth of anesthesia monitoring during surgical procedures. However, conflicting results regarding the benefits of BIS for depth of anesthesia monitoring have been reported in numerous studies. The purpose of this meta-anal...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/5555481 |
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| author | Yichun Gu Jiajun Hao Jiangna Wang Peng Liang Xinyi Peng Xiaoxiao Qin Yunwei Zhang Da He |
| author_facet | Yichun Gu Jiajun Hao Jiangna Wang Peng Liang Xinyi Peng Xiaoxiao Qin Yunwei Zhang Da He |
| author_sort | Yichun Gu |
| collection | DOAJ |
| description | Background and Objective. The Bispectral Index (BIS) is utilized to guide the depth of anesthesia monitoring during surgical procedures. However, conflicting results regarding the benefits of BIS for depth of anesthesia monitoring have been reported in numerous studies. The purpose of this meta-analysis and systematic review was to assess the effectiveness of BIS for depth of anesthesia monitoring. Search Methods. A systematic search of Ovid-MEDLINE, Cochrane, and PubMed was conducted from inception to April 20, 2023. Clinical trial registers and grey literature were also searched, and reference lists of included studies, as well as related review articles, were manually reviewed. Selection Criteria. The inclusion criteria were randomized controlled trials without gender or age restrictions. The control groups used conventional monitoring, while the intervention groups utilized BIS monitoring. The exclusion criteria included duplicates, reviews, animal studies, unclear outcomes, and incomplete data. Data Collection and Analysis. Two independent reviewers screened the literature, extracted data, and assessed methodological quality, with analyses conducted using R 4.0 software. Main Results. Forty studies were included. In comparison to the conventional depth of anesthesia monitoring, BIS monitoring reduced the postoperative cognitive dysfunction risk (RR = 0.85, 95% CI: 0.73∼0.99, P=0.04), shortened the eye-opening time (MD = −1.34, 95% CI: −2.06∼−0.61, P<0.01), orientation recovery time (MD = −1.99, 95% CI: −3.62∼−0.36, P=0.02), extubation time (MD = −2.54, 95% CI: −3.50∼−1.58, P<0.01), and postanesthesia care unit stay time (MD = −7.11, 95% CI: −12.67∼−1.55, P=0.01) and lowered the anesthesia drug dosage (SMD = −0.39, 95% CI: −0.63∼−0.15, P<0.01). Conclusion. BIS can be used to effectively monitor the depth of anesthesia. Its use in general anesthesia enhances the effectiveness of both patient care and surgical procedures. |
| format | Article |
| id | doaj-art-4c4b72c834884970838751cdaca7dc80 |
| institution | DOAJ |
| issn | 1687-6970 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-4c4b72c834884970838751cdaca7dc802025-08-20T02:43:33ZengWileyAnesthesiology Research and Practice1687-69702024-01-01202410.1155/2024/5555481Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-AnalysisYichun Gu0Jiajun Hao1Jiangna Wang2Peng Liang3Xinyi Peng4Xiaoxiao Qin5Yunwei Zhang6Da He7Shanghai Health Development Research CenterSchool of Public HealthJiangxi University of Chinese MedicineDepartment of AnesthesiologyDepartment of Health ManagementShanghai Health Development Research CenterShanghai Health Development Research CenterShanghai Health Development Research CenterBackground and Objective. The Bispectral Index (BIS) is utilized to guide the depth of anesthesia monitoring during surgical procedures. However, conflicting results regarding the benefits of BIS for depth of anesthesia monitoring have been reported in numerous studies. The purpose of this meta-analysis and systematic review was to assess the effectiveness of BIS for depth of anesthesia monitoring. Search Methods. A systematic search of Ovid-MEDLINE, Cochrane, and PubMed was conducted from inception to April 20, 2023. Clinical trial registers and grey literature were also searched, and reference lists of included studies, as well as related review articles, were manually reviewed. Selection Criteria. The inclusion criteria were randomized controlled trials without gender or age restrictions. The control groups used conventional monitoring, while the intervention groups utilized BIS monitoring. The exclusion criteria included duplicates, reviews, animal studies, unclear outcomes, and incomplete data. Data Collection and Analysis. Two independent reviewers screened the literature, extracted data, and assessed methodological quality, with analyses conducted using R 4.0 software. Main Results. Forty studies were included. In comparison to the conventional depth of anesthesia monitoring, BIS monitoring reduced the postoperative cognitive dysfunction risk (RR = 0.85, 95% CI: 0.73∼0.99, P=0.04), shortened the eye-opening time (MD = −1.34, 95% CI: −2.06∼−0.61, P<0.01), orientation recovery time (MD = −1.99, 95% CI: −3.62∼−0.36, P=0.02), extubation time (MD = −2.54, 95% CI: −3.50∼−1.58, P<0.01), and postanesthesia care unit stay time (MD = −7.11, 95% CI: −12.67∼−1.55, P=0.01) and lowered the anesthesia drug dosage (SMD = −0.39, 95% CI: −0.63∼−0.15, P<0.01). Conclusion. BIS can be used to effectively monitor the depth of anesthesia. Its use in general anesthesia enhances the effectiveness of both patient care and surgical procedures.http://dx.doi.org/10.1155/2024/5555481 |
| spellingShingle | Yichun Gu Jiajun Hao Jiangna Wang Peng Liang Xinyi Peng Xiaoxiao Qin Yunwei Zhang Da He Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis Anesthesiology Research and Practice |
| title | Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis |
| title_full | Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis |
| title_fullStr | Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis |
| title_short | Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis |
| title_sort | effectiveness assessment of bispectral index monitoring compared with conventional monitoring in general anesthesia a systematic review and meta analysis |
| url | http://dx.doi.org/10.1155/2024/5555481 |
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