Research Article

Correlation of Surgical Pleth Index with Stress Hormones during Propofol-Remifentanil Anaesthesia

Table 3

Stress hormones levels, mean Bp, heart rate, SPI, and BIS values at the different event-related time points.

Time pointGroupACTH
(pg/mL)
Cortisol
(pg/mL)
Epinephrine
(pg/mL)
Norepinephrine
(pg/mL)
Mean
(mmHg)
HR
(beat/min)
SPIBIS

BaseSSI23 ± 1414 ± 538 ± 18187 ± 11494 ± 1471 ± 1353 ± 1192 ± 15
Control19 ± 1313 ± 634 ± 18252 ± 17299 ± 1470 ± 1253 ± 1197 ± 2
IntuSSI15 ± 7**10 ± 4**28 ± 19129 ± 69**94 ± 2072 ± 1251 ± 1337 ± 10**
Control16 ± 911 ± 4*26 ± 9132 ± 73**93 ± 1675 ± 1553 ± 1437 ± 13**
MaxiSSI 10 ± 5**# 8 ± 4**##34 ± 17 83 ± 50**## 74 ± 10**## 59 ± 10**## 43 ± 12**##39 ± 11**
Control 11 ± 65**# 8 ± 3**## 35 ± 24# 82 ± 49**# 77 ± 16**## 59 ± 10**## 45 ± 14*#38 ± 9**
After-MaxiSSI 9 ± 6**## 5 ± 3**##& 19 ± 18**#&& 35 ± 19**##&& 77 ± 13**## 59 ± 9**## 29 ± 11**##&&44 ± 11**
Control 9 ± 5**## 6 ± 4**## 19 ± 10**&& 36 ± 18**##& 82 ± 15**## 58 ± 10**## 31 ± 13**##&&40 ± 7**

Values are mean ± SD. Base = baseline before anaesthesia; Intu = after tracheal intubation; Max = at maximum operative trauma which defined intraoperatively by the surgeon; After-Max = 15 min after the maximum operative trauma; SSI = the group in which remifentanil administration was guided by SSI; Control = the group in which remifentanil administration was guided by standard traditional inadequate anaesthesia criteria.
* P < 0.05, **P < 0.01 compare with respective values at Base in the same group with one-way ANOVA followed by LSD test.
#P < 0.05, ##P < 0.01 compared with respective values at Intu in the same group with one-way ANOVA followed by LSD test.
&P < 0.05, &&P < 0.01 compared with respective values at Maxi in the same group with one-way ANOVA followed by LSD test.
No any differences were found at all four event-related timepoints between the SPI group and the Control group (P > 0.05).