The art of chasing numbers in titration of anaesthetic dose.

Sleigh, Jamie; Whittle, Nicola · Br J Anaesth · 2023

editorial · Level V

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Abstract

There is no difference in between-patient variability of concentrations when comparing propofol and sevoflurane titrated to a bispectral index of 40-60. There is about a 300% variation in hypnotic concentration between the bottom 5% and top 5% of the population. Anaesthesia titration cannot be based solely on measured or estimated drug concentrations.

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