The Utility of Bispectral Index for Titration of Propofol Dosages and Recovery from Anaesthesia

Background: The use of clinical signs may not be reliable to measure the hypnotic component of anaesthesia. Bispectral Index monitoring provides a direct measurement of the hypnotic effect of the anaesthetic agent used and it may have certain clinical advantages over clinical signs. Objective: This study consists of dose requirement of propofol with bispectral Index monitoring and without bispectral Index monitoring. Material and Methods: In the present study, 100 patients were randomly divided into two groups (50 in each group), one group received Standard dose of propofol while the other received propofol infusion with BIS monitoring. Results: Mean amount of propofol for induction used was 1.6 vs 2.24 mg/kg in bispectral index group and standard group respectively. The inference was that the induction dose of propofol by Bispectral index and by standard practice was statistically highly significant with P<0.001. Similarly mean amount of propofol for maintenance used was 5.70 vs 8.88 mg/kg/hr in bispectral index group and standard group respectively. The inference was that the maintenance dose of propofol by Bispectral index and by standard practice was statistically highly significant with P<0.001. Conclusion: Dose requirement of propofol was less and early recovery from anesthesia with bispectral Index monitoring.