OBJECTIVE

To evaluate the effectiveness of clinical assistant application «Anesthesia Status Indicator» (BoA Panel) for support of clinical decision-making and improving the patient safety.

MATERIAL AND METHODS. A

Single-center, randomized, controlled trial included 66 patients aged 33—74 years (ASA III) who underwent surgery under general anesthesia for thyroid tumors. Patients were randomized into 2 groups: group A (control, n=33) — anesthesiologists were guided by current values of advanced monitoring without taking into account the recommendations of clinical application; group B (study, n=33) — anesthesiologists were guided only by the recommendations of clinical application. In all cases, we used the Harvard monitoring standard, control of gas-narcotic mixture, depression of consciousness and neuromuscular conduction. Heart rate variability and electrodermal activity were recorded. We also performed internal discrete medical audit of critical incidents. Methods of descriptive and variation statistics were used. The null hypothesis was rejected at p<0.05.

RESULTS

We found unidirectional dynamics of parameters of advanced anesthetic monitoring in both groups without significant differences, identical clinical course of anesthesia and the same need for pharmacological load. Internal discrete medical audit revealed higher safety in group B due to significantly lower incidence of arterial hypotension (p=0.019) and greater number of cases without critical incidents compared to the control group.

CONCLUSION

«Anesthesia Status Indicator» (BoA Panel) for clinical decision-making is effective for monitoring of anesthesia and increasing the safety of patients with ASA III physical status undergoing surgery for thyroid tumors.