Effect of atracurium and rocuronium on the state and response entropy during isoflurane anesthesia: randomized prospective study

Hassanien, Noran Essam Mohamed; Bassiouny, Mohsen Abdghany; ElSerwi, Heba Bahaa Eldin; Ashour, Tarek Mohamed Ahmed; Ismaiel, Mohamed Abdelmohsen Abdelnaiem

doi:10.1186/s42077-023-00298-7

Effect of atracurium and rocuronium on the state and response entropy during isoflurane anesthesia: randomized prospective study

Authors

10.1186/s42077-023-00298-7

Abstract

Background
Several researches have examined the impact of inhalation anesthetics, intravenous anesthetics, and muscle relaxants on spectral entropy, but many did not evaluate the extent of neuromuscular block. Besides, they did not inspect the impact of distinct degrees of neuromuscular blockade on spectral entropy under dissimilar saturations of isoflurane inhalation. Hence, this study has evaluated variant degrees of minimum alveolar concentration (MAC) to estimate the isoflurane concentration, along with various levels of neuromuscular blockade.
Results
There was a positive correlation between state (SE) and response entropy (RE) at baseline, different MACs, and different trains of four (TOF) for both atracurium and rocuronium. State and response entropy decreased with increasing MAC of isoflurane ( < 0.001), while atracurium and rocuronium at TOF 50% and 100% showed no effect on SE, RE, or RE-SE ( > 0.05).
Conclusions
State and response entropy can be used effectively to evaluate the depth of anesthesia at different isoflurane MAC and atracurium or rocuronium doses.
Registration number
ClinicalTrials.gov identifier: NCT 05097508, Registered October 5, 2021 (prospectively registered),

Keywords