Relationship between daily testosterone production and bispectral index (BIS) values in patients who underwent septoplasty operation

Aim The study aimed to investigate the effect of varying testosterone levels in the morning and evening on the depth of anaesthesia in patients who underwent a septoplasty. Materials and Methods Male patients who underwent septoplasty under general anaesthesia between September 2016 and September 2017 were included in the study. The patients were divided into two groups. The first group consisted of patients who were operated on in the morning hours (between 8.00 and 10.00) when the testosterone level was the highest and the second group consisted of patients who had the lowest testosterone level in the afternoon (between 14.00 and 16.00). Blood was taken from the brachial vein to measure the testosterone level of the patients and blood testosterone levels were measured by mass spectrometry before the induction of anaesthesia. Results Sixty patients were included in the study. The mean age of the patients was 33.77 +/- 10.98 years. The rocuronium and propofol doses used in the morning group were significantly higher (P = .012 for propofol, P = .002 for rocuronium, P < .001 for rocuronium dose) (Table 2). Additionally, the time to reach saturation of sevoflurane doses in expirium and inspiration was later in the morning group (morning group at 15th minute, evening group at 10th minute). Conclusions Sedation anaesthesia applied in patients who underwent septoplasty operation was associated with testosterone level and it was more difficult for patients to switch to sedation with increased testosterone level.

Automated summary

This study aimed to investigate the impact of testosterone levels on the depth of anesthesia in patients undergoing septoplasty. It was found that sedation anesthesia was influenced by testosterone levels, making it more challenging for patients with higher testosterone levels to switch to sedation.